Provider Demographics
NPI:1295110708
Name:SHUMAN, BARBARA D (RN, FNP, CNS)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:D
Last Name:SHUMAN
Suffix:
Gender:F
Credentials:RN, FNP, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24681 JENNY LN
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-9468
Mailing Address - Country:US
Mailing Address - Phone:951-440-6010
Mailing Address - Fax:
Practice Address - Street 1:24681 JENNY LN
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-9468
Practice Address - Country:US
Practice Address - Phone:951-440-6010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-26
Last Update Date:2017-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA301134163W00000X
CA2187364SC1501X
CA95003426363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily