Individual
MS. SHANAE JEANETTE BAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10401 W THUNDERBIRD BLVD, SUN CITY, AZ 85351-3004
(623) 832-6560
Mailing address
7951 W BEARDSLEY RD UNIT 15203, PEORIA, AZ 85382-2746
(773) 947-4649
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
244624
AZ
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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