Nicole Shin, is a
Nurse Practitioner - Obstetrics & Gynecology physician based in Sun Valley, California. Nicole Shin is licensed to practice in California (license number 95032946) and her current practice location is 8100 Sunland Blvd, Sun Valley, California. She can be reached at her office (for appointments etc.) via phone at
(818) 242-6811.
NPI number for Nicole Shin is 1841967619 and her current mailing address is 8100 Sunland Blvd, Sun Valley, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841967619.
Physician's Profile
Full Name | Nicole Shin |
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Gender | Female |
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Speciality | Nurse Practitioner - Obstetrics & Gynecology |
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Location | 8100 Sunland Blvd, Sun Valley, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841967619
- Provider Enumeration Date: 08/27/2021
- Last Update Date: 05/19/2025
Medical Identifiers
Medical identifiers for Nicole Shin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841967619 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 95032946 (California) | Secondary |
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 95032946 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Shin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicole Shin, 8100 Sunland Blvd, Sun Valley, CA 91352-3948 Ph: (818) 242-6811 | Nicole Shin, 8100 Sunland Blvd, Sun Valley, CA 91352-3948 Ph: (818) 242-6811 |
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