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Shanna Rae Begay

Student in an Organized Health Care Education/Training Program in Flagstaff, AZ. Individual provider (NPI-1).

NPI number1972118461
StatusActive
Last updated in NPPESSep 10, 2020

Details

NPI
1972118461
Entity type
Individual (NPI-1)
Name
Shanna Rae Begay
Sex
Female
Sole proprietor
No
Enumeration date
Sep 10, 2020
Certification date
Sep 10, 2020
Last updated
Sep 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

208 E Pine Knoll Drive Room 215 Building 66
Flagstaff, AZ 86011-0001

Phone 928-523-7147 · Fax 928-523-6195

Mailing address

Po Box 72
Pinon, AZ 86510-0072

Phone 928-612-4680

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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