person
Mrs. Shana S Stark, NP
Primary Care Nurse Practitioner in Brookings, Oregon
NPI 1124443676

Shana S Stark is a Primary Care Nurse Practitioner based in Lincoln, OR and is specialized in Primary Care. Shana S Stark practices in Brookings, OR and has the professional credentials of NP. The NPI Number for Shana S Stark is 1124443676 and holds a License No. 201501818NP-PP (Oregon).

The current practice location address for Shana S Stark is 500 5Th St, Brookings, OR and can be reached out via phone at 541-412-2000 and via fax at 541-412-2081.

Location: 500 5Th St, Brookings, OR, 68506-7250
person
Provider Profile Details
NPI Number
1124443676
Provider Name
Shana S Stark
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
500 5Th St, Brookings, OR, 68506-7250
Phone Number
541-412-2000
Fax Number
541-412-2081
Provider Enumeration Date
02/20/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500684342 05 OR
1487696985 01 OR CURRY HEALTH DISTRICT NPI
930937095 01 OR CURRY HEALTH DISTRICT TAX ID
institution
Provider Business Practice Location Address Details
Address
500 5Th St
City
State
Zip
97415-9702
Phone Number
541-412-2000
Fax Number
541-412-2081
person
Provider Business Mailing Address Details
Address
500 5Th St
City
State
Zip
97415-9702
Phone Number
541-412-2000
Fax Number
541-412-2081
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
111628 (Nebraska)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
201501818NP-PP (Oregon)
Definition
Definition to come...
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