Provider Demographics
NPI:1679961718
Name:SELLS, SHAWNA (RN)
Entity Type:Individual
Prefix:
First Name:SHAWNA
Middle Name:
Last Name:SELLS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SHAWNA
Other - Middle Name:LEE
Other - Last Name:YAZZIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:H.C. 70 BOX 11
Mailing Address - Street 2:IHHC HSE #2012
Mailing Address - City:TONALEA
Mailing Address - State:AZ
Mailing Address - Zip Code:86044-0000
Mailing Address - Country:US
Mailing Address - Phone:928-672-3000
Mailing Address - Fax:928-672-3125
Practice Address - Street 1:HIGHWAY 98 AND NAVAJO ROUTE 16
Practice Address - Street 2:INSCRIPTION HOUSE HEALTH CENTER
Practice Address - City:TONALEA
Practice Address - State:AZ
Practice Address - Zip Code:86044
Practice Address - Country:US
Practice Address - Phone:928-672-3000
Practice Address - Fax:928-672-3125
Is Sole Proprietor?:No
Enumeration Date:2014-12-23
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ085596163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse