Provider Demographics
NPI:1851879183
Name:SALADINO, SHYANNE
Entity Type:Individual
Prefix:
First Name:SHYANNE
Middle Name:
Last Name:SALADINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3512 N PINE ST
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52806-5256
Mailing Address - Country:US
Mailing Address - Phone:563-529-2631
Mailing Address - Fax:
Practice Address - Street 1:3512 N PINE ST
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52806-5256
Practice Address - Country:US
Practice Address - Phone:563-529-2631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-30
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program