Provider Demographics
NPI:1033447123
Name:MCGINEST, SHUNDA RENEE (RN)
Entity Type:Individual
Prefix:MS
First Name:SHUNDA
Middle Name:RENEE
Last Name:MCGINEST
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43095 AVENIDA CIELO
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-3049
Mailing Address - Country:US
Mailing Address - Phone:760-763-8562
Mailing Address - Fax:
Practice Address - Street 1:200 MERCY CIRCLE DRIVE
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92055
Practice Address - Country:US
Practice Address - Phone:760-725-1288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-30
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA642529171M00000X, 163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Single Specialty
No171M00000XOther Service ProvidersCase Manager/Care Coordinator