Individual provider · Type 1 NPI
Tara Lynn Shafer, FNP
Family Nurse Practitioner · San Pedro, CA
NPI number
1053922641
Active
Practice location
1350 W 6th St Ste 200
San Pedro, CA 90732-3508
Mailing address
310 N Catalina Ave Unit B
Redondo Beach, CA 90277-2830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95015152 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1053922641
Tara Lynn Shafer, FNP's National Provider Identifier is 1053922641, issued on Aug 16, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Pedro, CA. The record was last updated on Aug 16, 2020.