Provider Demographics
NPI:1154206373
Name:MEADE, SHAYSE (RN)
Entity type:Individual
Prefix:
First Name:SHAYSE
Middle Name:
Last Name:MEADE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7651 N OLDFATHER DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-1621
Mailing Address - Country:US
Mailing Address - Phone:520-682-1069
Mailing Address - Fax:
Practice Address - Street 1:7651 N OLDFATHER DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-1621
Practice Address - Country:US
Practice Address - Phone:520-682-1069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ294323163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool