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

Shyan Marie Summerall

Individual provider Prosthetist · NPI 1093686792

Shyan Marie Summerall is a Prosthetist in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

4511 Mimosa Tree Ln Apt 1206
Raleigh, NC 27612-7063
Phone: (220) 225-1386
Show map & directions

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

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X (NC)

Record details

NPI number1093686792
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 15, 2025
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

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