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Shirley Wong, BSN,RN,PHN
Community Health Registered Nurse in Santa Cruz, California
NPI 1609303049

Shirley Wong is a Community Health Registered Nurse based in Santa Cruz, CA and is specialized in Community Health. Shirley Wong practices in Santa Cruz, CA and has the professional credentials of BSN,RN,PHN. The NPI Number for Shirley Wong is 1609303049 and holds a License No. 95086409 (California).

The current practice location address for Shirley Wong is 1060 Emeline Ave, Santa Cruz, CA and can be reached out via phone at 831-454-4339.

Location: 1060 Emeline Ave, Santa Cruz, CA, 95060-1966
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609303049
Provider Name
Shirley Wong
Credential
BSN,RN,PHN
Provider Entity Type
Individual
Gender
Female
Address
1060 Emeline Ave, Santa Cruz, CA, 95060-1966
Phone Number
831-454-4339
Fax Number
Provider Enumeration Date
05/16/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
70042F CA FQHC 01 CA 70042F CA FQHC
institution
Provider Business Practice Location Address Details
Address
1060 Emeline Ave
City
Santa Cruz
State
California
Zip
95060-1966
Phone Number
831-454-4339
Fax Number
person
Provider Business Mailing Address Details
Address
1060 Emeline Ave
City
Santa Cruz
State
California
Zip
95060-1966
Phone Number
831-454-4339
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Community Health
Taxonomy
163WC1500X
License No.
95086409 (California)
Definition
Definition to come...
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