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Individual
SHAYNA LEEANN AGUILAR
Active
Individual
SHAYNA LEEANN AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71010532
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71010532A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102488280
ANTHEM PTAN
IN
05
—
300045816
—
IN
Enumeration date
06/23/2020
Last updated
05/06/2025
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