Provider Demographics
NPI:1326822446
Name:SEELEY, SHAYNA RACHEZ (RN)
Entity Type:Individual
Prefix:
First Name:SHAYNA
Middle Name:RACHEZ
Last Name:SEELEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3363 S RINCON DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-0256
Mailing Address - Country:US
Mailing Address - Phone:480-708-4224
Mailing Address - Fax:
Practice Address - Street 1:3363 S RINCON DR
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-0256
Practice Address - Country:US
Practice Address - Phone:480-708-4224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ240432163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency