Shannan Wayne

NPI 1619701075 · on the registry since 2024 · sole proprietor

Practice

Address: 3832 Sw 33rd Ct
West Park, FL 33023
Phone: (262) 707-3257
Organisation at this address: Time 2 Launch Inc
My Time 2 Launch, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 106S00000X
106S00000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-08-28
Status: Not present in the most recent federal file

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 Florida