KRISTA SHAMBAUGH

SAN DIEGO, CA
NPI1720538788
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95031769)
Additional Taxonomies163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA  95097866)
163WC1500X Registered Nurse, Community Health
(Licence: CA  95097866)
Enumeration Date2016-10-13
Last Update Date2024-10-09
Business Address
KRISTA SHAMBAUGH PMHNP
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105-1608
Phone number: 619-280-4213
Mailing Address
KRISTA SHAMBAUGH PMHNP
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105-1608
Phone number: 619-280-4213