Individual provider · Type 1 NPI
Krista Shambaugh, PMHNP
Psychiatric/Mental Health Nurse Practitioner · San Diego, CA
NPI number
1720538788
Active
Practice location
4060 Fairmount Ave
San Diego, CA 92105-1608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 95097866 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95031769 (CA) |
| Community Health Registered Nurse | 163WC1500X | 95097866 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1720538788
Krista Shambaugh, PMHNP's National Provider Identifier is 1720538788, issued on Oct 13, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Diego, CA. The record was last updated on Oct 9, 2024.