Provider Demographics
NPI:1699496661
Name:SHUEY, ANNA MARIA (RN)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:SHUEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8444 N 90TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4437
Mailing Address - Country:US
Mailing Address - Phone:480-494-2497
Mailing Address - Fax:480-687-7361
Practice Address - Street 1:8444 N 90TH ST STE 100
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4437
Practice Address - Country:US
Practice Address - Phone:480-494-2497
Practice Address - Fax:480-687-7361
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-08
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH348861163WA0400X
OHRN.348861163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)