| Doctor Name: | MRS. SHIRLEY A. BERUE |
| NPI Number: | 1023235561 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.,R.D.,C.S.R. |
| License Number: | 712389 |
| Business Practice Address: | 35363 Sumac Ave Murrieta, CA - 925622517 |
| Business Phone Number: | 9516985210 |
| Business Fax Number: | |
| Mailing Address: | 35363 Sumac Ave, MURRIETA |
| State: | CA |
| Postal Code: | 925622517 |
| Phone Number: | 9516985210 |
| Fax Number: | |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 11/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1005X |
| License Number: | 712389 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Renal |
| Taxonomy Definition: | |