Provider Demographics
NPI:1396097556
Name:LANIUS, SHAYLA MARIE (ARNP)
Entity type:Individual
Prefix:
First Name:SHAYLA
Middle Name:MARIE
Last Name:LANIUS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 W CYPRESS CREEK RD STE 550
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-6174
Mailing Address - Country:US
Mailing Address - Phone:954-267-3851
Mailing Address - Fax:
Practice Address - Street 1:550 W CYPRESS CREEK RD STE 550
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-6174
Practice Address - Country:US
Practice Address - Phone:954-267-3851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-11
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9297121363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily