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

MS. Shana Lee Tackett

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902137516

MS. Shana Lee Tackett is a Student in an Organized Health Care Education/Training Program in Parker, Arizona. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

12330 Agency Rd Parker Indian Health Ctr
Parker, AZ 85344
Phone: (928) 669-3130
Fax: (928) 669-3131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1902137516
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 21, 2010
Last updated in NPPESJanuary 21, 2010

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