Provider Demographics
NPI:1699813444
Name:SHAPIRO, ANNE Z (RN, PHN)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:Z
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:RN, PHN
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:MARY
Other - Last Name:ZAHORIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1225-N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476
Mailing Address - Country:US
Mailing Address - Phone:707-996-9978
Mailing Address - Fax:
Practice Address - Street 1:355 TUOLUMNE ST
Practice Address - Street 2:PUBLIC HEALTH NURSING
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-5700
Practice Address - Country:US
Practice Address - Phone:707-553-5482
Practice Address - Fax:707-553-5649
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA298543163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA298543OtherREGISTERED NURSING LICENC