MEDICARE: STRIANIE SHAINA LOUIS

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	367500000X	Certified Registered Nurse Anesthetist	95002568	CA
2	163W00000X	Registered Nurse	95291048	CA

General Provider Information

NPI Number	:	1528839818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STRIANIE SHAINA LOUIS

Provider Business Mailing Address
First Line	:	489 W SANTA ANA AVE APT 2
Second Line	:
City	:	CLOVIS
State	:	CA
Zip	:	93612-3532
Country	:	US
Telephone Number	:	607-761-6069
Fax Number	:

Provider Business Practice Location Address
First Line	:	489 W SANTA ANA AVE APT 2
Second Line	:
City	:	CLOVIS
State	:	CA
Zip	:	93612-3532
Country	:	US
Telephone Number	:	607-761-6069
Fax Number	:

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

Provider Enumeration Date	:	01/15/2024
Last Update Date	:	03/18/2025

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Directions to “ STRIANIE SHAINA LOUIS ” Practice Location

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