Provider Demographics
NPI:1497959266
Name:SHAMES, KARILEE HALO (PHD, RN, A-HNC)
Entity Type:Individual
Prefix:MS
First Name:KARILEE
Middle Name:HALO
Last Name:SHAMES
Suffix:
Gender:F
Credentials:PHD, RN, A-HNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1682 NOVATO BLVD
Mailing Address - Street 2:#350
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94947-7000
Mailing Address - Country:US
Mailing Address - Phone:415-472-2343
Mailing Address - Fax:
Practice Address - Street 1:25 MITCHELL BLVD
Practice Address - Street 2:SUITE 8
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-2007
Practice Address - Country:US
Practice Address - Phone:415-472-2343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN 265751163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health