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Individual

MS. SHAUNA L BINETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.N.P.

Contact information

Practice address
6020 E ARBOR AVE, #101, MESA, AZ 85206-6102
(480) 985-1700
(480) 396-3659
Mailing address
3707 N 7TH ST, #305, PHOENIX, AZ 85014-5059
(602) 264-9100
(602) 264-9101

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP1734
AZ
363LA2200X
Adult Health Nurse Practitioner
RN088438
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
120390
GROUP MEDICARE NUMBER
AZ
01
317047
GROUP MEDICAID NUMBER
AZ
Enumeration date
09/15/2005
Last updated
05/22/2008
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