Provider Demographics
NPI:1104537638
Name:SHULER, TESSA LEONE (FNP-C)
Entity type:Individual
Prefix:
First Name:TESSA
Middle Name:LEONE
Last Name:SHULER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:TESSA
Other - Middle Name:
Other - Last Name:LA ROSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2241 WANKEL WAY
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-0190
Mailing Address - Country:US
Mailing Address - Phone:805-983-0425
Mailing Address - Fax:805-983-0414
Practice Address - Street 1:2241 WANKEL WAY
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-0190
Practice Address - Country:US
Practice Address - Phone:805-983-0425
Practice Address - Fax:805-983-0414
Is Sole Proprietor?:No
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF09221220207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine