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NPI Code Detail

MEDICARE: SHAINA JOY

MEDICARE: SHAINA JOY
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
1163WS0200XSchool Registered Nurse76522NM

General Provider Information

NPI Number : 1679437099
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAINA JOY
Provider Business Mailing Address
First Line : PO BOX 25704
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87125-0704
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6400 UPTOWN BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-4202
Country : US
Telephone Number : 505-855-9804
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “ SHAINA JOY ” Practice Location

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