Provider Demographics
NPI:1568088789
Name:MILNE-WALKER, SHAUNA (MD)
Entity type:Individual
Prefix:
First Name:SHAUNA
Middle Name:
Last Name:MILNE-WALKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHAUNA
Other - Middle Name:
Other - Last Name:MILNE-PRICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:12 B ST
Mailing Address - Street 2:
Mailing Address - City:ZUNI
Mailing Address - State:NM
Mailing Address - Zip Code:87327
Mailing Address - Country:US
Mailing Address - Phone:406-439-7570
Mailing Address - Fax:
Practice Address - Street 1:12 B ST
Practice Address - Street 2:
Practice Address - City:ZUNI
Practice Address - State:NM
Practice Address - Zip Code:87327
Practice Address - Country:US
Practice Address - Phone:505-782-7477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-23
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA186029207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty