Individual provider · Type 1 NPI

Jan Shaner

Emergency Registered Nurse · Phoenix, AZ

NPI number 1720477656 Active

Practice location

4212 N 16th St
Phoenix, AZ 85016-5319

Fax (602) 200-5383

Mailing address

PO Box 31001-0698
Pasadena, CA 91110-1302

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003X52175 (NE)

Emergency Registered Nurse: Definition to come...

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About NPI 1720477656

Jan Shaner's National Provider Identifier is 1720477656, issued on Jan 15, 2015. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 15, 2015.