Shelley Diane, CNS is a
Registered Nurse - Pediatrics based in Fairfax, California. Shelley Diane is licensed to practice in California (license number 468075) and her current practice location is
1 Shemran Ct, Fairfax, California. She can be reached at her office (for appointments etc.) via phone at
(415) 721-0120.
NPI number for Shelley Diane is 1073827739 and her current mailing address is 1 Shemran Ct, Fairfax, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073827739.
Provider's Profile
| Full Name | Shelley Diane |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse - Pediatrics |
|---|
| Location | 1 Shemran Ct, Fairfax, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1073827739
- Provider Enumeration Date: 08/04/2010
- Last Update Date: 08/04/2010
Medical Identifiers
Medical identifiers for Shelley Diane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073827739 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WP0200X | Registered Nurse - Pediatrics | 468075 (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. Shelley Diane 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 |
|---|
Shelley Diane, CNS
1 Shemran Ct,
Fairfax, CA 94930-1321
Ph: (415) 721-0120 | Shelley Diane, CNS
1 Shemran Ct,
Fairfax, CA 94930-1321
Ph: (415) 721-0120 |
Reviews and Comments