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Shu Dong, NP
Nurse Practitioner in Banning, California
NPI 1376842005

Shu Dong is a Nurse Practitioner based in Banning, CA. Shu Dong practices in Banning, CA and has the professional credentials of NP. The NPI Number for Shu Dong is 1376842005 and holds a License No. 1117425 (California).

The current practice location address for Shu Dong is 12359 Malki Rd, Banning, CA and can be reached out via phone at 951-922-2058 and via fax at 888-551-2116.

Location: 12359 Malki Rd, Banning, CA, 92220-6974
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376842005
Provider Name
Shu Dong
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
12359 Malki Rd, Banning, CA, 92220-6974
Phone Number
951-922-2058
Fax Number
888-551-2116
Provider Enumeration Date
03/21/2011
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
12359 Malki Rd
City
Banning
State
California
Zip
92220-6974
Phone Number
951-922-2058
Fax Number
888-551-2116
person
Provider Business Mailing Address Details
Address
12359 Malki Rd
City
Banning
State
California
Zip
92220-6974
Phone Number
951-922-2058
Fax Number
888-551-2116
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
20192 (California)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1117425 (Texas)
Definition
Definition to come...
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