Individual provider · Type 1 NPI

Staci Antaya, BA, BSN, MSN, FNP

Family Nurse Practitioner · Medford, OR

NPI number 1396555652 Active

Practice location

3617 S Pacific Hwy
Medford, OR 97501-8957

Mailing address

931 Chevy Way
Medford, OR 97504-4127

Other practice locations

  • 638 Market St, Medford, OR 97504-6126 · (541) 535-6239

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X200540315RN (OR)
Family Nurse Practitioner Primary 363LF0000X10038520 (OR)

Family Nurse Practitioner: Definition to come...

99 other providers at this address

Other family nurse practitioner providers in Medford

See all in Medford →

About NPI 1396555652

Staci Antaya, BA, BSN, MSN, FNP's National Provider Identifier is 1396555652, issued on Jan 9, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Medford, OR. The record was last updated on Apr 1, 2025.