Shike Ayeni, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Shafter, CA

NPI 1043801632 · NPPES record last updated Jan 27, 2021

Key facts

NPI
1043801632
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
95016457 (CA)
Practice address
501 Munzer St Ste C
Shafter, CA 93263-2042
Phone
(661) 630-5274
NPI assigned
Jan 27, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
95016457CAMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95016457 CA Yes

Addresses

Primary practice location

501 Munzer St Ste C
Shafter, CA 93263-2042

Mailing address

501 Munzer St Ste C
Shafter, CA 93263-2042
Phone (661) 630-5274

Other providers in Shafter, CA

All providers in Shafter, CA · Family Nurse Practitioner in California

Sources for this page

Verify at the official NPI Registry.