Ginger Shullanberger in Redlands - Nurse Practitioner
Ginger Shullanberger - NPI 1629188818
Ginger Shullanberger is a Nurse Practitioner in Redlands, California. Ginger Shullanberger practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Ginger Shullanberger is 1629188818. The last update date is 2020-02-05.
Ginger Shullanberger's current location address is 245 Terracina Blvd, Redlands, California. You can contact this provider via phone number 9097933311 and fax number 9093354105. The mailing address for Ginger Shullanberger is 245 Terracina Blvd, Redlands, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ginger Shullanberger |
|---|---|
| Address | 245 Terracina Blvd, Redlands, California |
| Phone Number | 9097933311 |
| Fax Number | 9093354105 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1629188818 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2020-02-05 |
Provider Mailing Address Detail
| Address | 245 Terracina Blvd |
|---|---|
| City | Redlands |
| State | California (CA) |
| Post Code | 923734852 |
| Phone Number | 9097933311 |
| Fax Number | 9093354105 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | AP128129 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NON-PARTICIPATI | IL | -- |
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What is the Ginger Shullanberger's unique identification number?
The Ginger Shullanberger has been assigned the NPI (National Provider Identifier) Number 1629188818 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Ginger Shullanberger located?
The Ginger Shullanberger is located at 245 Terracina Blvd, Redlands, CA 923734852.
What is Ginger Shullanberger's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ginger Shullanberger's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date was the 1629188818 assigned to Ginger Shullanberger?
The Ginger Shullanberger was issued its 1629188818 on 2006-08-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Ginger Shullanberger's details last updated?
The information pertaining to the Ginger Shullanberger, including its address, specialty, and other details, was most recently updated on 2020-02-05.