Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Debra Joan Shanley

Individual provider Mastectomy Fitter · NPI 1922863794

Debra Joan Shanley is a Mastectomy Fitter in Fremont, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

2500 Mowry Ave Ste 130
Fremont, CA 94538-1605
Phone: (510) 790-1911
Fax: (510) 505-1960
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mastectomy Fitter (primary) Taxonomy 224900000X · Licence C52324 (CA)

Record details

NPI number1922863794
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 20, 2024
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024

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