Shu Dong, N.P.
Nurse Practitioner · Banning, CA
Practice location
12359 Malki RdBanning, CA 92220-6974
- Phone
- (951) 922-2058
- Fax
- (888) 551-2116
NPI record
- NPI
- 1376842005
- Entity type
- Individual (Type 1)
- Enumeration date
- March 21, 2011
- Last updated
- July 10, 2024
- Certified
- July 10, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X |
20192 | CA |
| Family Nurse Practitioner | 363LF0000X |
1117425 | TX |
About Shu Dong
Shu Dong, N.P. is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 12359 Malki Rd, Banning, CA 92220-6974. The NPI number 1376842005 was assigned on March 21, 2011 and the record was last updated on July 10, 2024.
Shu Dong lists 2 licenses in the registry: #20192 (CA) for Nurse Practitioner; #1117425 (TX) for Family Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Shu Dong, N.P.?
The NPI number is 1376842005.
What is the phone number of Shu Dong?
The phone number listed for the practice location is (951) 922-2058.
Where is Shu Dong located?
12359 Malki Rd, Banning, CA 92220-6974.
What is the taxonomy code for Shu Dong?
The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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