Search › California › 363LC0200X
Shana Nordyke, NP
NPI 1982412060 · on the registry since 2024 · sole proprietor
Practice
- Address
- 13816 Bora Bora Way Apt 223
Marina Del Rey, CA 90292 - Phone
- (219) 331-9321
- Clinicians at this address
- 3
Additional practice sites
- 608 Coventry Cir, Valparaiso, IN
Registry record
- Primary taxonomy
- 363LC0200X
363LC0200X
- Also registered as
- 363LA2100X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California