Search › Arizona › 183500000X
Shanna Nyberg
NPI 1760762959 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1334 E Chandler Blvd
Phoenix, AZ 85048 - Phone
- (480) 283-0119
- Organisation at this address
- Safeway Inc
1918 Winter Street Operating Co LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- AZ, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-08-19
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