DR. ELECTINE NAMUYE K SHIRLEY (NPI# 1104481282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104481282 |
Entity Type | Individual |
Full Name | DR. ELECTINE NAMUYE K SHIRLEY |
Credential | DNP-CPNP-PC |
Practice Address |
839 W Congress St Tucson AZ 85745-2819 |
Mailing Address |
10111 E Hummingbird Meadow Way Tucson AZ 85747-5511 |
Practice Telephone | 5206703909 |
Enumeration Date | 2019-05-05 |
Last Update Date | 2019-09-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
224349 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
839 W CONGRESS ST |
City | TUCSON |
State | AZ |
Zip Code | 85745-2819 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912904699 | Arthur N Martinez | Preventive Medicine | 839 W Congress St, Tucson, AZ 85745-2819 | 2005-07-07 |
1619591732 | Eric J Pearce | Dentist | 839 W Congress St, Tucson, AZ 85745-2819 | 2020-06-04 |
1407479504 | Marwa Elkharsity | Student in an Organized Health Care Education/Training Program | 839 W Congress St, Tucson, AZ 85745-2819 | 2020-05-22 |
1275156663 | Sara Shahdoost Moghadam | Pharmacist | 839 W Congress St, Tucson, AZ 85745-2819 | 2020-05-20 |
1285256461 | Hyogin Park | Student in an Organized Health Care Education/Training Program | 839 W Congress St, Tucson, AZ 85745-2819 | 2020-05-11 |
1174143903 | Margaret Bauer | Student in an Organized Health Care Education/Training Program | 839 W Congress St, Tucson, AZ 85745-2819 | 2020-04-22 |
1740819242 | Lena Masri | Student in an Organized Health Care Education/Training Program | 839 W Congress St, Tucson, AZ 85745-2819 | 2020-04-06 |
1639707292 | Michael Eugene Hartmann Jr. | Student in an Organized Health Care Education/Training Program | 839 W Congress St, Tucson, AZ 85745-2819 | 2020-03-30 |
1053948224 | Hanna Senn Kingsley | Student in an Organized Health Care Education/Training Program | 839 W Congress St, Tucson, AZ 85745-2819 | 2020-03-26 |
1457988172 | Rosa Concepcion Sanchez | Dental Hygienist | 839 W Congress St, Tucson, AZ 85745-2819 | 2020-03-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629540679 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 839 W Congress, Tucson, AZ 85745 | 2018-12-31 |
1194230672 | Pascua Yaqui Tribe | Community/Behavioral Health | 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 | 2017-12-06 |
1891207106 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1100 W. Fresno Street, Tucson, AZ 85745 | 2017-10-26 |
1497270664 | Skin Concierge, LLC. | Dermatology | 1310 W. St. Mary's Road, 2nd Floor, Suite A, Tucson, AZ 85745 | 2017-08-09 |
1801334941 | Katie Flores | Physical Therapist | 1604 W St Mary's Rd, Tucson, AZ 85745 | 2017-02-09 |
1558717348 | Jeongfill Yun | Student in an Organized Health Care Education/Training Program | 8290 W Congress St., Tucson, AZ 85745 | 2016-05-11 |
1417317082 | Nebsource LLC | Durable Medical Equipment & Medical Supplies | 4890 W Camino De La Amapola, Tucson, AZ 85745 | 2016-02-25 |
1548661358 | Melinda Godoy | Pharmacist | 879 W Congress, Tucson, AZ 85745 | 2014-09-11 |
1811333925 | Asdb | Clinic/Center | 1200 West Speedway, Tucson, AZ 85745 | 2013-05-15 |
1669722385 | David L. Lewis | Counselor | 1779 W. St. Mary's Rd, Tucson, AZ 85745 | 2012-09-11 |
Find all providers in zip 85745 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326606146 | Mollie Finn | Nurse Practitioner | 2356 N Emerald Lake Ct, Tucson, AZ 85749-7925 | 2019-06-05 |
1063987683 | Katherine Anne Bassler | Nurse Practitioner | 5375 E Erickson Dr Ste 103, Tucson, AZ 85712-2838 | 2018-10-10 |
1154771509 | Sofhia Ynes Ytuarte | Nurse Practitioner | 8174 S Woodfrost Way, Tucson, AZ 85747-9014 | 2016-06-16 |
1073885851 | Gloanna Peek | Nurse Practitioner | 1305 N Martin, Tucson, AZ 85721-0203 | 2012-02-08 |
1821206137 | Rebecca Louise Zahn | Nurse Practitioner | 102 N Plumer Ave, Tucson, AZ 85719-5906 | 2007-05-18 |
1720174519 | Maria M Montez | Nurse Practitioner | 535 N Wilmot, Suite #101, Tucson, AZ 85711 | 2006-10-05 |
1821075979 | Sheri Michele Carson | Nurse Practitioner | 3870 W River Rd Ste 126, Tucson, AZ 85741-3080 | 2005-12-29 |
1487653895 | Kristen Moore | Nurse Practitioner | 5681 N Oracle Rd, Tucson, AZ 85704-3813 | 2005-07-18 |
1669476198 | Katherine Ann Watson | Nurse Practitioner | 1310 W. St Mary's Road, Tucson, AZ 85745 | 2005-06-13 |
1548804206 | Stacee Lyders | Nurse Practitioner | 2222 N Craycroft Rd Ste 150, Tucson, AZ 85712-2816 | 2019-11-05 |
Find all providers in TUCSON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.