NPI 1093686792

Shyan Marie Summerall

Practitioner Prosthetist Raleigh, NC

Practice location

Address: 4511 Mimosa Tree Ln APT 1206, Raleigh, NC 27612-7063
Phone: (220) 225-1386

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1093686792
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Sep 2025
Record last updated: 15 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.