Provider Demographics
NPI:1780491928
Name:MARAGH, SHANIQUE (RN)
Entity type:Individual
Prefix:
First Name:SHANIQUE
Middle Name:
Last Name:MARAGH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 E PRINCE RD APT 516
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-6151
Mailing Address - Country:US
Mailing Address - Phone:520-551-2177
Mailing Address - Fax:
Practice Address - Street 1:1573 W AJO WAY
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-5738
Practice Address - Country:US
Practice Address - Phone:520-908-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ229633163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse