Individual
SHONI TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
25000 AVENUE STANFORD STE 167, VALENCIA, CA 91355-4596
(818) 600-2034
Mailing address
14659 OLIVE VIEW DR, SYLMAR, CA 91342-1652
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95015850
CA
390200000X
Student in an Organized Health Care Education/Training Program
747904
CA
Other
Enumeration date
08/29/2019
Last updated
01/07/2021
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