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Individual

SHANNON WILLIAM PINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
27700 MEDICAL CENTER RD, MISSION VIEJO, CA 92691-6426
(949) 364-1400
Mailing address
519 SPRINGBROOK N, IRVINE, CA 92614-7562
(949) 536-4815

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95039269
CA

Other

Enumeration date
04/22/2026
Last updated
04/22/2026
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