Individual provider · Type 1 NPI

Shannon Bagnasco

Family Nurse Practitioner · Menifee, CA

NPI number 1235554510 Active

Practice location

26926 Cherry Hills Blvd, Suite B
Menifee, CA 92586-2500

Call (951) 216-2200 Map

Mailing address

425 N Date St
Escondido, CA 92025-3413

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95000377 (CA)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1235554510

Shannon Bagnasco's National Provider Identifier is 1235554510, issued on Feb 24, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Menifee, CA. The record was last updated on Feb 24, 2014.