Provider Demographics
NPI:1942578430
Name:STAPLETON, SHAINA CAMILLE (AUD)
Entity Type:Individual
Prefix:DR
First Name:SHAINA
Middle Name:CAMILLE
Last Name:STAPLETON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 CONSULTANT PL STE 220
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6320
Mailing Address - Country:US
Mailing Address - Phone:919-948-1947
Mailing Address - Fax:919-794-3047
Practice Address - Street 1:14 CONSULTANT PL STE 220
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6320
Practice Address - Country:US
Practice Address - Phone:919-948-1947
Practice Address - Fax:919-794-3047
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-12
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10146237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty