Individual provider · Type 1 NPI
Shanna Nicole Roark, APRN, MSN, AGACNP-BC
Critical Care Medicine Nurse Practitioner · Shenandoah, TX
NPI number
1154953214
Active
Practice location
9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Fax (713) 897-2275
Mailing address
930 Frostwood Dr Ste 2.200
Houston, TX 77024-2450
Other practice locations
- 1111 Medical Plaza Dr Ste 250, Shenandoah, TX 77380-3477 · (281) 296-8788
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | AP145040 (TX) |
Critical Care Medicine Nurse Practitioner: Definition to come...
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About NPI 1154953214
Shanna Nicole Roark, APRN, MSN, AGACNP-BC's National Provider Identifier is 1154953214, issued on Feb 6, 2020. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Shenandoah, TX. The record was last updated on Aug 14, 2026.