Individual provider · Type 1 NPI
Edward Shane Trantham, FNP-C
Family Nurse Practitioner · Holbrook, AZ
NPI number
1043780349
Active
Practice location
2109 Navajo Blvd
Holbrook, AZ 86025-1822
Mailing address
PO Box 3630
Flagstaff, AZ 86003-3630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 219546 (AZ) |
Family Nurse Practitioner: Definition to come...
6 other providers at this address
- El Rio Santa Cruz Neighborhood Health Center IncFederally Qualified Health Center (FQHC) Holbrook, AZ NPI 1790632461
- North Country Healthcare, Inc.Multi-Specialty Clinic/Center Holbrook, AZ NPI 1306960422
- Heber George Dutson, FNPFamily Nurse Practitioner Holbrook, AZ NPI 1710326731
- Karen Sue Scott, APRN-CFamily Nurse Practitioner Holbrook, AZ NPI 1518253368
- Leslie Brett FlakePhysician Assistant Holbrook, AZ NPI 1356960223
- Mary Ann Henry, PA-CPhysician Assistant Holbrook, AZ NPI 1447231667
Other family nurse practitioner providers in Holbrook
About NPI 1043780349
Edward Shane Trantham, FNP-C's National Provider Identifier is 1043780349, issued on Nov 29, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Holbrook, AZ. The record was last updated on Mar 19, 2021.