| Doctor Name: | MS. MARYANN CIMINO SHINN |
| NPI Number: | 1023487295 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 410508825 |
| Business Practice Address: | 1733 California Dr Burlingame, CA - 940103201 |
| Business Phone Number: | 6504646922 |
| Business Fax Number: | |
| Mailing Address: | 1733 California Dr, BURLINGAME |
| State: | CA |
| Postal Code: | 940103201 |
| Phone Number: | 6504646922 |
| Fax Number: | |
| NPI Enumeration Date: | 09/17/2015 |
| NPI Last Update Date: | 09/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 376G00000X |
| License Number: | 410508825 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Related Providers |
| Taxonomy Classification: | Nursing Home Administrator |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual, often licensed by the state, who is responsible for the management of a nursing home. |