Individual provider · Type 1 NPI
John Coy Shaffer, RN, BC
Psychiatric/Mental Health Registered Nurse · Modesto, CA
NPI number
1487784559
Active
Practice location
800 Scenic Dr
Modesto, CA 95350-6131
Fax (209) 558-4316
Mailing address
1749 Joel Way
Ceres, CA 95307-4305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 332522 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1487784559
John Coy Shaffer, RN, BC's National Provider Identifier is 1487784559, issued on Mar 6, 2007. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Modesto, CA. The record was last updated on Nov 22, 2016.