Provider Demographics
NPI:1467290031
Name:SHIROISHI, HOPE ELIZABETH SARAH (NP)
Entity type:Individual
Prefix:MRS
First Name:HOPE
Middle Name:ELIZABETH SARAH
Last Name:SHIROISHI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9122 ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-3405
Mailing Address - Country:US
Mailing Address - Phone:877-696-3622
Mailing Address - Fax:
Practice Address - Street 1:9122 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-3405
Practice Address - Country:US
Practice Address - Phone:877-696-3622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-18
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95030699363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty