Wingo, Shana Nicolle

Wingo, Shana Nicolle is an individual health care provider with primary practice located at 2925 W Rose Garden Ln Ste 110 , Phoenix AZ 85027-3135. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as her primary health care specialty. Wingo, Shana Nicolle can be contacted via phone (623) 265-7215.

Contact Information

Primary practice address
2925 W Rose Garden Ln Ste 110 Phoenix AZ 85027-3135
Phone: (623) 265-7215
Fax: (833) 465-1462
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 4443 Arizona
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X M3796 Texas
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 42887 Arizona

Profile Details

NPI number 1972613727
LBN Legal business name Wingo, Shana Nicolle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Sep 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972613727 NPPES
Arizona MEDICAID 519946

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