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DEBRA JOAN SHANLEY
NPI 1922863794
Mastectomy Fitter in Fremont, CA

Active since February 20, 2024
2500 MOWRY AVE STE 130, FREMONT, CA 94538(510) 790-1911(510) 505-1960 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Debra Joan Shanley NPPES

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

DEBRA JOAN SHANLEY (NPI 1922863794) is an individual mastectomy fitter provider in Fremont, California, licensed in California (C52324) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1922863794
Entity TypeIndividualFemale
Primary Taxonomy224900000X
Provider Legal NameDEBRA JOAN SHANLEY
Location Address2500 MOWRY AVE STE 130Fremont, CA 94538-1605
Mailing Address2500 Mowry Ave Ste 130Fremont, CA 94538-1605 · (510) 790-1911 · Fax (510) 505-1960
Phone(510) 790-1911
Fax(510) 505-1960
Sole ProprietorYes
Enumeration DateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1922863794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMastectomy FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224900000X
License✔ Licensed in CA · C52324
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
2500 MOWRY AVE STE 130, Fremont, CA 94538
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Other Providers at the Same Location NPPES

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

DAISY MERCEDES CHAVEZ-SANCHEZ CFM
Mastectomy Fitter
2500 MOWRY AVE STE 130
FREMONT, CA 94538
Alameda County (510) 790-1911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Shanley's NPI number?

The NPI number for Debra Shanley is 1922863794. It was assigned to this individual provider in the NPPES registry on February 20, 2024.

Where is Debra Shanley located?

Debra Shanley practices at 2500 Mowry Ave Ste 130, Fremont, CA 94538. The listed phone number is (510) 790-1911.

What is Debra Shanley's specialty?

The primary specialty registered for this NPI is Mastectomy Fitter with taxonomy code 224900000X.

When was this NPI record last updated?

The NPPES record for Debra Shanley was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.