Provider Demographics
NPI:1174417190
Name:MYLES, SHAYNA DIANE
Entity type:Individual
Prefix:
First Name:SHAYNA
Middle Name:DIANE
Last Name:MYLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 I ST SE APT 212
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-4596
Mailing Address - Country:US
Mailing Address - Phone:301-821-1077
Mailing Address - Fax:
Practice Address - Street 1:1333 N ST NW UNIT 310B
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-4565
Practice Address - Country:US
Practice Address - Phone:301-256-5070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant