Provider Demographics
NPI:1154669117
Name:LAFF, SHAYLA MARIE (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:SHAYLA
Middle Name:MARIE
Last Name:LAFF
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:SHAYLA
Other - Middle Name:MARIE
Other - Last Name:HOSBURG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2648 ALPINE BLVD UNIT B
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:CA
Mailing Address - Zip Code:91901-2224
Mailing Address - Country:US
Mailing Address - Phone:619-708-4728
Mailing Address - Fax:
Practice Address - Street 1:2648 ALPINE BLVD UNIT B
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:CA
Practice Address - Zip Code:91901-2224
Practice Address - Country:US
Practice Address - Phone:619-708-4728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-26
Last Update Date:2013-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA835232163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse