Tantau, Shelley

Tantau, Shelley is an sole proprietor health care provider with primary practice located at 1703 Shasta Ave , Napa CA 94558-2354. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Tantau, Shelley can be contacted via phone (707) 758-7700.

Contact Information

Primary practice address
1703 Shasta Ave Napa CA 94558-2354
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP60961397 Washington
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 95003458 California

Profile Details

NPI number 1457719304
LBN Legal business name Tantau, Shelley
Credentials ACNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2016
Last updated May 23rd, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457719304 NPPES
Washington MEDICAID 2206062

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