Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Shae Martin, NURSINGASSITANT

Individual provider Nurse's Aide · NPI 1902598691

Mr. Shae Martin, NURSINGASSITANT is a Nurse's Aide in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2023
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Practice location Address checks out

936 W Mountain View Rd Apt 15
Phoenix, AZ 85021-2368
Phone: (480) 587-3706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence LNA1000053604 (AZ)

Record details

NPI number1902598691
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSINGASSITANT
Sole proprietorYes
NPI enumeratedMay 22, 2023
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023

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