Walker, Shayna Tanise
Walker, Shayna Tanise is an individual health care provider with primary practice located at 150 Valpreda Rd , San Marcos CA 92069-2973. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Walker, Shayna Tanise can be contacted via phone (760) 736-8675.Contact Information
Primary practice address
150 Valpreda Rd
San Marcos CA 92069-2973
Phone: (760) 736-8675
Fax: (760) 736-8642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2011-01965 | North Carolina |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 2011-01965 | North Carolina |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A107393 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A107393 | California |
Profile Details
| NPI number | 1760688295 |
|---|---|
| LBN Legal business name | Walker, Shayna Tanise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2007 |
| Last updated | Mar 14th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760688295 | NPPES |
| North Carolina | MEDICAID | 5920366 | |
| North Carolina | Other | 172W0 | |
| North Carolina | Other | 252985 | |
| North Carolina | MEDICAID | 5920813 | |
| North Carolina | Other | NC7241A |
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