Provider Demographics
NPI:1144749540
Name:HYOSAKA, SHELBY LYNN (FNP-BC)
Entity Type:Individual
Prefix:MISS
First Name:SHELBY
Middle Name:LYNN
Last Name:HYOSAKA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 RAMONA AVE APT 206
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4044
Mailing Address - Country:US
Mailing Address - Phone:831-809-1772
Mailing Address - Fax:
Practice Address - Street 1:172 EL DORADO ST
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-3118
Practice Address - Country:US
Practice Address - Phone:831-901-3940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-17
Last Update Date:2022-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA752677163W00000X
CA95007273363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse