Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHANA S STARK, N.P.
ActiveMRS. SHANA S STARK, N.P. is a Primary Care Nurse Practitioner healthcare provider located in BROOKINGS, Oregon. NPI 1124443676 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · BROOKINGS, OR
Registration Details
- NPI Number
- 1124443676
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 20, 2014 (12.439526405698 yrs)
- Last Updated
- Sep 16, 2022
- Licenses
-
201501818NP-PP (OR)111628 (NE)
Practice Information
- Address
-
500 5TH STBROOKINGS, OR, 974159702Browse OR providers · Browse ZIP 97415
- Phone
- 5414122000
- Fax
- 5414122081
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Primary Care Nurse Practitioner
Other Primary Care Nurse Practitioner Providers in BROOKINGS, OR
| Name | Credential | NPI |
|---|---|---|
| STACY RAE KREGER | AGNP | 1760956312 |
| MR. OBIRI YEBOAH | APRN AGNP-C | 1619631215 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.