Shayna Marie Glaser
Individual provider Active NPI Peer Specialist · Devils Lake, ND
NPI 1003544503 · NPPES record last updated Aug 11, 2022
Key facts
- NPI
- 1003544503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 414 4TH Ave NE
Devils Lake, ND 58301-2458 - Phone
- (701) 215-6855
- NPI assigned
- Aug 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
414 4TH Ave NE
Devils Lake, ND 58301-2458
Mailing address
829 Sunset Dr
Devils Lake, ND 58301-8668
Phone (701) 215-6855
Other providers in Devils Lake, ND
- Annie Margaret Gerhardt
- Heather Ann Gibbens
- Kirstie Gillett
- Dana Gladue
- Ladene Gladue
- Joseph Michael Gleason
- Angel Marie Gonzalez
- Monica Gonzalez
- Mary A Gooden
- Grace and Gratitude Wellness
All providers in Devils Lake, ND · Peer Specialist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.