Walker, Shayna Tanise

Walker, Shayna Tanise is an individual health care provider with primary practice located at 150 Valpreda Rd , San Marcos CA 92069-2973. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Walker, Shayna Tanise can be contacted via phone (760) 736-8675.

Contact Information

Primary practice address
150 Valpreda Rd San Marcos CA 92069-2973
Phone: (760) 736-8675
Fax: (760) 736-8642
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2011-01965 North Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2011-01965 North Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A107393 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A107393 California

Profile Details

NPI number 1760688295
LBN Legal business name Walker, Shayna Tanise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2007
Last updated Mar 14th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760688295 NPPES
North Carolina MEDICAID 5920366
North Carolina Other 172W0
North Carolina Other 252985
North Carolina MEDICAID 5920813
North Carolina Other NC7241A

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