Individual provider · Type 1 NPI
Stephanie Miyuki Shimada
General Practice Registered Nurse · Lake Arrowhead, CA
NPI number
1184557498
Active
Practice location
420 Golf Course Rd
Lake Arrowhead, CA 92352
Mailing address
PO Box 4334
Blue Jay, CA 92317-4334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 95233415 (CA) |
General Practice Registered Nurse: Definition to come...
About NPI 1184557498
Stephanie Miyuki Shimada's National Provider Identifier is 1184557498, issued on Jun 5, 2026. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Lake Arrowhead, CA. The record was last updated on Jun 5, 2026.