Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE DAVID STATHAM
ActiveSHANE DAVID STATHAM is a Family Nurse Practitioner healthcare provider located in WICHITA FALLS, Texas. NPI 1902422603 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · WICHITA FALLS, TX
Registration Details
- NPI Number
- 1902422603
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2020 (6.1208328108791 yrs)
- Last Updated
- Oct 23, 2024
- License
-
1017571 (TX)
Practice Information
- Address
-
5800 KELL BLVD STE 500WICHITA FALLS, TX, 763101618Browse TX providers · Browse ZIP 76310
- Phone
- 9402608976
- Fax
- 8885108976
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in WICHITA FALLS, TX
| Name | Credential | NPI |
|---|---|---|
| MRS. KIMBERLY ANNE HANSEN | RN, CFNP | 1699774422 |
| MRS. CORENE CROUSE | RN FNP | 1316926900 |
| GILLIAN J THOMAS | FNP | 1356315386 |
| REGINA M. HOWARD | NURSE PRACTITIONER | 1568414753 |
| JULIA ANNE LIM | NP-C | 1336159888 |
| NICOLE SUE HOOPER | NP | 1881786440 |
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.