Provider Demographics
NPI:1003667718
Name:MONSEES, SHALYN NICOLE
Entity type:Individual
Prefix:
First Name:SHALYN
Middle Name:NICOLE
Last Name:MONSEES
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 1:302 N INDEPENDENCE ST STE 600
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701-4025
Mailing Address - Country:US
Mailing Address - Phone:580-242-1300
Mailing Address - Fax:580-237-7913
Practice Address - Street 1:302 N INDEPENDENCE ST STE 600
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-4025
Practice Address - Country:US
Practice Address - Phone:580-242-1300
Practice Address - Fax:580-237-7913
Is Sole Proprietor?:No
Enumeration Date:2024-03-29
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK219960363LF0000X
OKR0134153163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse