| Doctor Name: | MRS. MARIA MICHELE SHIMIZU |
| NPI Number: | 1013327063 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | NP95000630 |
| Business Practice Address: | 4787 Danbury Cir El Dorado Hills, CA - 957626952 |
| Business Phone Number: | 9168374498 |
| Business Fax Number: | |
| Mailing Address: | 4787 Danbury Cir, EL DORADO HILLS |
| State: | CA |
| Postal Code: | 957626952 |
| Phone Number: | 9168374498 |
| Fax Number: | |
| NPI Enumeration Date: | 04/29/2014 |
| NPI Last Update Date: | 04/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0100X |
| License Number: | NP95000630 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Gastroenterology |
| Taxonomy Definition: | |