Individual provider · Type 1 NPI

Kate Rose Shantar

Psychiatric/Mental Health Nurse Practitioner · San Marino, CA

NPI number 1407635113 Active

Practice location

2400 Mission St
San Marino, CA 91108-1632

Mailing address

152 S Hayworth Ave Apt 6
Los Angeles, CA 90048-3616

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95027343 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1407635113

Kate Rose Shantar's National Provider Identifier is 1407635113, issued on Sep 22, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Marino, CA. The record was last updated on Sep 22, 2023.