| Doctor Name: | SHEA LYNETTE MAESTAS |
| NPI Number: | 1174730634 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN145045 |
| Business Practice Address: | 294 W Carlos Ave Holbrook, AZ - 860251846 |
| Business Phone Number: | 9285241821 |
| Business Fax Number: | |
| Mailing Address: | 118 E California St, HOLBROOK |
| State: | AZ |
| Postal Code: | 860252610 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | RN145045 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |