NPI 1346016391

Shain Lenae Bussell, CBCS

Practitioner Contractor Surprise, AZ

Practice location

Address: 16553 W Cielo Grande Ave, Surprise, AZ 85387-1411
Phone: (623) 703-6180

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1346016391
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Nov 2023
Record last updated: 30 Nov 2023

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.