Provider Demographics
NPI:1689409658
Name:OKSA, SHAYLA (MED)
Entity type:Individual
Prefix:
First Name:SHAYLA
Middle Name:
Last Name:OKSA
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 OHM AVE
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-4611
Mailing Address - Country:US
Mailing Address - Phone:715-514-2555
Mailing Address - Fax:
Practice Address - Street 1:1620 OHM AVE
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-4611
Practice Address - Country:US
Practice Address - Phone:715-514-2555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-07
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician