Provider Demographics
NPI:1295562304
Name:STEGER, SHAYNA DAWN
Entity type:Individual
Prefix:
First Name:SHAYNA
Middle Name:DAWN
Last Name:STEGER
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 1:2408 S SANTA FE AVE APT 106
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-2872
Mailing Address - Country:US
Mailing Address - Phone:405-795-9329
Mailing Address - Fax:
Practice Address - Street 1:2408 S SANTA FE AVE APT 106
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-2872
Practice Address - Country:US
Practice Address - Phone:405-795-9329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-14
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA92837640175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty