Provider Demographics
NPI:1407421969
Name:BELL, SHAYNA (MS)
Entity Type:Individual
Prefix:
First Name:SHAYNA
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8242 EMERALD FOREST CT
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-8100
Mailing Address - Country:US
Mailing Address - Phone:908-425-2176
Mailing Address - Fax:
Practice Address - Street 1:8242 EMERALD FOREST CT
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-8100
Practice Address - Country:US
Practice Address - Phone:908-425-2176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management