Individual provider · Type 1 NPI

Shu Dong, N.P.

Nurse Practitioner · Banning, CA

NPI number 1376842005 Active

Practice location

12359 Malki Rd
Banning, CA 92220-6974

Call (951) 922-2058 Map

Fax (888) 551-2116

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X1117425 (TX)
Nurse Practitioner Primary 363L00000X20192 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1376842005

Shu Dong, N.P.'s National Provider Identifier is 1376842005, issued on Mar 21, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Banning, CA. The record was last updated on Jul 10, 2024.