Provider Demographics
NPI:1447593017
Name:RICHARDSON, SHAINA MICHELLE (MD)
Entity Type:Individual
Prefix:
First Name:SHAINA
Middle Name:MICHELLE
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHAINA
Other - Middle Name:MICHELLE
Other - Last Name:BEESEMYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 E LIBERTY ST
Mailing Address - Street 2:STE 555
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89501-2110
Mailing Address - Country:US
Mailing Address - Phone:775-240-5554
Mailing Address - Fax:
Practice Address - Street 1:13001 E 17TH PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2570
Practice Address - Country:US
Practice Address - Phone:303-724-1758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-02
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV16678207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology