Individual provider · Type 1 NPI

Krysten Blake De Shields, RN-BSN

Student in an Organized Health Care Education/Training Program · Colton, CA

NPI number 1093629354 Active

Practice location

2245 John Matich Dr
Colton, CA 92324-9513

Call (909) 657-8030 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X95196826 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093629354

Krysten Blake De Shields, RN-BSN's National Provider Identifier is 1093629354, issued on Oct 1, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Colton, CA. The record was last updated on Oct 1, 2026.