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Kate Rose Shantar
Psychiatric/Mental Health Nurse Practitioner in San Marino, California
NPI 1407635113

Kate Rose Shantar is a Psychiatric/Mental Health Nurse Practitioner based in Los Angeles, CA and is specialized in Psychiatric/Mental Health. Kate Rose Shantar practices in San Marino, CA. The NPI Number for Kate Rose Shantar is 1407635113 and holds a License No. 95027343 (California).

The current practice location address for Kate Rose Shantar is 2400 Mission St, San Marino, CA and can be reached out via phone at 626-403-8999.

Location: 2400 Mission St, San Marino, CA, 90048-3616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407635113
Provider Name
Kate Rose Shantar
Credential
Provider Entity Type
Individual
Gender
Female
Address
2400 Mission St, San Marino, CA, 90048-3616
Phone Number
626-403-8999
Fax Number
Provider Enumeration Date
09/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2400 Mission St
City
San Marino
State
California
Zip
91108-1632
Phone Number
626-403-8999
Fax Number
person
Provider Business Mailing Address Details
Address
2400 Mission St
City
San Marino
State
California
Zip
91108-1632
Phone Number
626-403-8999
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
95027343 (California)
Definition
Definition to come...
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