Provider Demographics
NPI:1255700746
Name:BARNHILL, SHAYNA
Entity type:Individual
Prefix:MS
First Name:SHAYNA
Middle Name:
Last Name:BARNHILL
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 1:423 SUNFLOWER RD
Mailing Address - Street 2:
Mailing Address - City:REXBURG
Mailing Address - State:ID
Mailing Address - Zip Code:83440-4921
Mailing Address - Country:US
Mailing Address - Phone:208-881-4565
Mailing Address - Fax:
Practice Address - Street 1:423 SUNFLOWER RD
Practice Address - Street 2:
Practice Address - City:REXBURG
Practice Address - State:ID
Practice Address - Zip Code:83440-4921
Practice Address - Country:US
Practice Address - Phone:208-881-4565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-15
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDMID-63176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife