Provider Demographics
NPI:1518756675
Name:TERLAJE, SHAMARALYNN ROSA (RN)
Entity type:Individual
Prefix:
First Name:SHAMARALYNN
Middle Name:ROSA
Last Name:TERLAJE
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 N 3RD ST # 216
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1107
Mailing Address - Country:US
Mailing Address - Phone:323-440-1698
Mailing Address - Fax:
Practice Address - Street 1:300 N 3RD ST # 216
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1107
Practice Address - Country:US
Practice Address - Phone:323-440-1698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA560900163WP0808X
CA95239184163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health