Individual provider · Type 1 NPI

Shetaye Shemsu, RN, PHN, NP

Registered Nurse · Oakland, CA

NPI number 1124905500 Active

Practice location

6955 Foothill Blvd Fl 3
Oakland, CA 94605-2455

Call (510) 604-3203 Map

Fax (510) 577-1876

Mailing address

305 Hawk Ridge Dr
Richmond, CA 94806-5819

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X23417 (CA)
Clinical Nurse Specialist 364S00000X3119 (CA)
Registered Nurse Primary 163W00000X727017 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1124905500

Shetaye Shemsu, RN, PHN, NP's National Provider Identifier is 1124905500, issued on Aug 19, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Oakland, CA. The record was last updated on Aug 19, 2025.