Provider Demographics
NPI:1619852092
Name:BESSEY, SHAYNA RENAE
Entity type:Individual
Prefix:
First Name:SHAYNA
Middle Name:RENAE
Last Name:BESSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1318 FORT ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68110-1351
Mailing Address - Country:US
Mailing Address - Phone:316-205-9313
Mailing Address - Fax:
Practice Address - Street 1:1318 FORT ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68110-1351
Practice Address - Country:US
Practice Address - Phone:316-205-9313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider