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SHANE SAMUEL
Psychiatric/Mental Health Nurse Practitioner
NPI: 1558112565IndividualAccepts Medicare
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Psychiatric/Mental Health Nurse PractitionerPrimary
Nurse Practitioner — Psychiatric/Mental Health
Code: 363LP0808X
308310(AZ)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2024
Contact & Hours
- Address
- 10512 E NICHOLS AVE.
MESA, AZ 85209 - Phone
- (951) 217-9678
Quick Facts
- NPI
- 1558112565
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 2
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