Provider Demographics
NPI:1417909185
Name:YRIGOYEN, SHANNON G (RN CNOR RNFA)
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:G
Last Name:YRIGOYEN
Suffix:
Gender:F
Credentials:RN CNOR RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 2ND AVE
Mailing Address - Street 2:#8
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-2477
Mailing Address - Country:US
Mailing Address - Phone:415-751-3438
Mailing Address - Fax:
Practice Address - Street 1:205 2ND AVE
Practice Address - Street 2:#8
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-2477
Practice Address - Country:US
Practice Address - Phone:415-751-3438
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA552695163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse