DR. MONICA ELLIS VAN SHUFFLIN MD - NPI 1003508847 - Student in an Organized Health Care Education/Training Program in San Antonio, TX

Q: What is Monica Van Shufflin's NPI number?

The NPI number for Monica Van Shufflin is 1003508847. It was assigned to this individual provider in the NPPES registry on May 22, 2023. The provider is also known as Monica Ellis York.

Q: What is Monica Van Shufflin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Dr. Monica Ellis Van Shufflin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MONICA ELLIS VAN SHUFFLIN MD (NPI 1003508847) is an individual student in an organized health care education/training program in San Antonio, Texas and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1003508847

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. MONICA ELLIS VAN SHUFFLINCredential: MD

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address300 E Basse Rd Apt 2109San Antonio, TX 78209-8395 · (815) 901-3745

Phone(815) 901-3745

Sole ProprietorNo

Enumeration DateMay 22, 2023

Last NPPES UpdateMay 31, 20232 updates tracked since enumeration

NPPES CertifiedMay 31, 2023

✔ NPI 1003508847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedMilitary Health Care ProviderTaxonomy 171000000X

4502 MEDICAL DR, San Antonio, TX 78229

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Other Names 1

Former Name (1)Monica Ellis York

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)