MEDICARE: SHAYNA MARIE DUNNE

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
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	95369779	CA

General Provider Information

NPI Number	:	1609718030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAYNA MARIE DUNNE

Provider Business Mailing Address
First Line	:	14496 OAK RIDGE RD
Second Line	:
City	:	NEVADA CITY
State	:	CA
Zip	:	95959-8873
Country	:	US
Telephone Number	:	530-470-2409
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 GLASSON WAY
Second Line	:
City	:	GRASS VALLEY
State	:	CA
Zip	:	95945-5723
Country	:	US
Telephone Number	:	530-470-2409
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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