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NPI Code Detail

MEDICARE: SHYANNE LEE BARNETT

MEDICARE: SHYANNE LEE BARNETT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NurseLPN.195311OH

General Provider Information

NPI Number : 1407715295
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHYANNE LEE BARNETT
Provider Business Mailing Address
First Line : 1 ELIZABETH PL
Second Line :
City : DAYTON
State : OH
Zip : 45417-3445
Country : US
Telephone Number : 937-813-1737
Fax Number :
Provider Business Practice Location Address
First Line : 1 ELIZABETH PL
Second Line :
City : DAYTON
State : OH
Zip : 45417-3445
Country : US
Telephone Number : 937-813-1737
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “ SHYANNE LEE BARNETT ” Practice Location

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