Doctor Name: | MRS. KAREN SHIELDS MAYO |
NPI Number: | 1144521758 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | RN426218 |
Business Practice Address: | 10535 Hospital Way Va Medical Center - Hematology/oncology Mather, CA - 95655 |
Business Phone Number: | 9168437008 |
Business Fax Number: | 9168437088 |
Mailing Address: | 10535 Hospital Way, Va Medical Center - Hematology/oncology MATHER |
State: | CA |
Postal Code: | 95655 |
Phone Number: | 9168437008 |
Fax Number: | 9168437088 |
NPI Enumeration Date: | 11/12/2010 |
NPI Last Update Date: | 11/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WX0200X |
License Number: | RN426218 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Oncology |
Taxonomy Definition: |