Search › Arizona › Psychiatric/Mental Health Nurse Practitioner
Shane Samuel
NPI 1558112565 · on the registry since 2024
Practice
- Address
- 10512 E Nichols Ave.
Mesa, AZ 85209 - Phone
- (951) 217-9678
Registry record
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Also registered as
- 390200000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona