Provider Demographics
NPI:1407172810
Name:SHI, HONG (RNFA)
Entity Type:Individual
Prefix:
First Name:HONG
Middle Name:
Last Name:SHI
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1466 SARATOGA DR
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-6522
Mailing Address - Country:US
Mailing Address - Phone:408-571-8800
Mailing Address - Fax:888-329-6432
Practice Address - Street 1:1466 SARATOGA DR
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-6522
Practice Address - Country:US
Practice Address - Phone:408-571-8800
Practice Address - Fax:888-329-6432
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA708950163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant