Provider Demographics
NPI:1912529272
Name:BATTLE, SHALA MONAA (FNP)
Entity type:Individual
Prefix:
First Name:SHALA
Middle Name:MONAA
Last Name:BATTLE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8821 LA SALLE ST
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-6035
Mailing Address - Country:US
Mailing Address - Phone:714-331-9431
Mailing Address - Fax:
Practice Address - Street 1:5562 PHILADELPHIA ST
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-2466
Practice Address - Country:US
Practice Address - Phone:714-331-9431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-09
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95014400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily