Shambaugh, Krista

Shambaugh, Krista is an sole proprietor health care provider with primary practice located at 4060 Fairmount Ave , San Diego CA 92105-1608. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Community Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Shambaugh, Krista can be contacted via phone (619) 280-4213.

Contact Information

Primary practice address
4060 Fairmount Ave San Diego CA 92105-1608
Phone: (619) 280-4213
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 95097866 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95031769 California
Nursing Service Providers / Community Health 163WC1500X 95097866 California

Profile Details

NPI number 1720538788
LBN Legal business name Shambaugh, Krista
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2016
Last updated Oct 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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