Provider Demographics
NPI:1356789879
Name:PRICE, SHAUNA WINKLE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:SHAUNA
Middle Name:WINKLE
Last Name:PRICE
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 COHASSET RD STE 240
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2235
Mailing Address - Country:US
Mailing Address - Phone:530-332-5350
Mailing Address - Fax:530-893-6032
Practice Address - Street 1:251 COHASSET RD STE 240
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2235
Practice Address - Country:US
Practice Address - Phone:530-332-5350
Practice Address - Fax:530-893-6032
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-06
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22854363LF0000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily