Provider Demographics
NPI:1265853774
Name:SHIGLEY, PATRICIA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:SHIGLEY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:VASQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13465 CAMINO CANADA STE 106-273
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-8813
Mailing Address - Country:US
Mailing Address - Phone:619-729-5249
Mailing Address - Fax:
Practice Address - Street 1:13465 CAMINO CANADA STE 106-273
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-8813
Practice Address - Country:US
Practice Address - Phone:877-747-5050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-31
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95000555363LF0000X
CA512996163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator