Provider Demographics
NPI:1093553661
Name:LOVE, SHAYANNA SPRING
Entity type:Individual
Prefix:MRS
First Name:SHAYANNA
Middle Name:SPRING
Last Name:LOVE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6821 S MARIPOSA LN APT 201
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-4214
Mailing Address - Country:US
Mailing Address - Phone:510-967-9545
Mailing Address - Fax:
Practice Address - Street 1:6821 S MARIPOSA LN APT 201
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-4214
Practice Address - Country:US
Practice Address - Phone:510-967-9545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula