Provider Demographics
NPI:1477172328
Name:SHIMASAKI, SAYURI HATO (RN)
Entity Type:Individual
Prefix:
First Name:SAYURI
Middle Name:HATO
Last Name:SHIMASAKI
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 1:836 CORNELL DR
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-3015
Mailing Address - Country:US
Mailing Address - Phone:323-828-0603
Mailing Address - Fax:818-561-2051
Practice Address - Street 1:836 CORNELL DR
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-3015
Practice Address - Country:US
Practice Address - Phone:323-828-0603
Practice Address - Fax:818-561-2051
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-10
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA533433163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine