Individual provider · NPI-1

Shayle Wines

Registered Nurse, Nurse Massage Therapist (NMT) · Idaho Falls, ID

NPI number1093635724
StatusActive
Last updated in NPPESJul 21, 2026

Details

NPI
1093635724
Entity type
Individual (NPI-1)
Name
Shayle Wines
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 21, 2026
Certification date
Jul 21, 2026
Last updated
Jul 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WM1400X Registered Nurse, Nurse Massage Therapist (NMT)44730WYYes

Practice location

554 Trails End
Idaho Falls, ID 83402-1286

Phone 307-220-4962

Mailing address

554 Trails End
Idaho Falls, ID 83402-1286

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