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Individual

SHILPA SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
275 BECK AVE # MS 5-250, FAIRFIELD, CA 94533-6804
(707) 784-8320
Mailing address
275 BECK AVE # MS 5-250, FAIRFIELD, CA 94533-6804

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
679782
NY
163W00000X
Registered Nurse
95108751
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
401912
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95006293
CA

Other

Enumeration date
07/14/2014
Last updated
06/06/2017
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