Individual provider · Type 1 NPI

Shannan Selby

Student in an Organized Health Care Education/Training Program · Dana Point, CA

NPI number 1679411482 Active

Practice location

24832 Pointe Trinity Apt C
Dana Point, CA 92629-1164

Fax (435) 231-4557

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679411482

Shannan Selby's National Provider Identifier is 1679411482, issued on Mar 23, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dana Point, CA. The record was last updated on Mar 23, 2026.