Provider Demographics
NPI:1154006724
Name:WORTHINGTON, SHAUNA LYNNE
Entity type:Individual
Prefix:
First Name:SHAUNA
Middle Name:LYNNE
Last Name:WORTHINGTON
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 1:18224 VIEWCREST LN
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93908-1521
Mailing Address - Country:US
Mailing Address - Phone:707-799-5601
Mailing Address - Fax:
Practice Address - Street 1:18224 VIEWCREST LN
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93908-1521
Practice Address - Country:US
Practice Address - Phone:707-799-5601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula