Provider Demographics
NPI:1952015851
Name:SPINKS, SHANA S
Entity type:Individual
Prefix:
First Name:SHANA
Middle Name:S
Last Name:SPINKS
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 1:24007 MARIPOSA PL
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91354-1880
Mailing Address - Country:US
Mailing Address - Phone:310-703-2066
Mailing Address - Fax:
Practice Address - Street 1:24007 MARIPOSA PL
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91354-1880
Practice Address - Country:US
Practice Address - Phone:310-703-2066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula