Provider Demographics
NPI:1154033637
Name:LONAI, SHAINA LEEANN
Entity type:Individual
Prefix:
First Name:SHAINA
Middle Name:LEEANN
Last Name:LONAI
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 1:911 7TH ST S
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83651-4121
Mailing Address - Country:US
Mailing Address - Phone:509-288-0941
Mailing Address - Fax:
Practice Address - Street 1:124 5TH ST
Practice Address - Street 2:
Practice Address - City:WILDER
Practice Address - State:ID
Practice Address - Zip Code:83676-5540
Practice Address - Country:US
Practice Address - Phone:208-482-7430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID53665363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily