Doctor Name: | MRS. LINDA T SHIRAISHI |
NPI Number: | 1104258409 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, FNP, CWON |
License Number: | 563489 |
Business Practice Address: | 4951 Arroyo Rd Livermore, CA - 945509650 |
Business Phone Number: | 9253734700 |
Business Fax Number: | |
Mailing Address: | 1760 150th Ave, SAN LEANDRO |
State: | CA |
Postal Code: | 945781826 |
Phone Number: | 9253734700 |
Fax Number: | |
NPI Enumeration Date: | 08/08/2013 |
NPI Last Update Date: | 08/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WW0000X |
License Number: | 563489 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Wound Care |
Taxonomy Definition: |