Provider Demographics
NPI:1487223723
Name:GUIN, SHANTINAE (PHLEBOTOMIST)
Entity Type:Individual
Prefix:
First Name:SHANTINAE
Middle Name:
Last Name:GUIN
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930B ROBTRICE CT STE 6
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-5714
Mailing Address - Country:US
Mailing Address - Phone:405-600-8615
Mailing Address - Fax:
Practice Address - Street 1:930B ROBTRICE CT STE 6
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-5714
Practice Address - Country:US
Practice Address - Phone:405-600-8615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-22
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy