Provider Demographics
NPI:1689854556
Name:DENEEN, SHANA SPECTOR (ND, ACUPUNCTURIST)
Entity Type:Individual
Prefix:DR
First Name:SHANA
Middle Name:SPECTOR
Last Name:DENEEN
Suffix:
Gender:F
Credentials:ND, ACUPUNCTURIST
Other - Prefix:DR
Other - First Name:SHANA
Other - Middle Name:ANN
Other - Last Name:SPECTOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4429 E 13TH PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74112-6101
Mailing Address - Country:US
Mailing Address - Phone:480-283-7430
Mailing Address - Fax:
Practice Address - Street 1:4157 S HARVARD AVE STE 111
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-2606
Practice Address - Country:US
Practice Address - Phone:918-884-6005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-08
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ07-1006175F00000X
171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath