Mrs Shannon Marie Goulmassian, RN, CNS is a
Clinical Nurse Specialist - Perinatal based in San Bernardino, California. Mrs Shannon Marie Goulmassian is licensed to practice in California (license number 1382) and her current practice location is
1725 Western Ave, San Bernardino, California. She can be reached at her office (for appointments etc.) via phone at
(909) 887-6333.
NPI number for Mrs Shannon Marie Goulmassian is 1437426053 and her current mailing address is Po Box 10967, San Bernardino, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437426053.
Provider's Profile
Full Name | Mrs Shannon Marie Goulmassian |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Perinatal |
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Location | 1725 Western Ave, San Bernardino, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1437426053
- Provider Enumeration Date: 11/28/2011
- Last Update Date: 03/18/2024
Medical Identifiers
Medical identifiers for Mrs Shannon Marie Goulmassian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437426053 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WD0400X | Registered Nurse - Diabetes Educator | 536211 (California) | Secondary |
163WL0100X | Registered Nurse - Lactation Consultant | L-17087 (California) | Secondary |
364SP1700X | Clinical Nurse Specialist - Perinatal | 1382 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shannon Marie Goulmassian is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Shannon Marie Goulmassian, RN, CNS Po Box 10967, San Bernardino, CA 92423-0967 Ph: (909) 796-2036 | Mrs Shannon Marie Goulmassian, RN, CNS 1725 Western Ave, San Bernardino, CA 92411-1367 Ph: (909) 887-6333 |
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