Provider Demographics
NPI:1588459325
Name:SHAPIRA, MAYA ANNA
Entity type:Individual
Prefix:
First Name:MAYA
Middle Name:ANNA
Last Name:SHAPIRA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2102 WIND LN
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4053
Mailing Address - Country:US
Mailing Address - Phone:302-530-0954
Mailing Address - Fax:
Practice Address - Street 1:2102 WIND LN
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4053
Practice Address - Country:US
Practice Address - Phone:302-530-0954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program