Provider Demographics
NPI:1912205618
Name:SAUNBY, SHIRENE PATRICIA (BSCN RN-BC)
Entity Type:Individual
Prefix:MS
First Name:SHIRENE
Middle Name:PATRICIA
Last Name:SAUNBY
Suffix:
Gender:F
Credentials:BSCN RN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3853 ROSECRANS ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-3115
Mailing Address - Country:US
Mailing Address - Phone:619-692-8227
Mailing Address - Fax:619-692-6617
Practice Address - Street 1:3853 ROSECRANS ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-3115
Practice Address - Country:US
Practice Address - Phone:619-692-8227
Practice Address - Fax:619-692-6617
Is Sole Proprietor?:No
Enumeration Date:2011-03-03
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA642177163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse