Provider Demographics
NPI:1295519015
Name:LEE, SHAYNA (CBD, CBC, CPD, CBE)
Entity type:Individual
Prefix:MRS
First Name:SHAYNA
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:CBD, CBC, CPD, CBE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10802 GREENCREEK DR APT 106
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-5365
Mailing Address - Country:US
Mailing Address - Phone:346-577-5803
Mailing Address - Fax:
Practice Address - Street 1:10802 GREENCREEK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-5300
Practice Address - Country:US
Practice Address - Phone:346-577-5803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula