Individual provider · Type 1 NPI
Forest Wayne Shira, FNP-C
Family Nurse Practitioner · Roseburg, OR
NPI number
1689001000
Active
Practice location
1863 NE Freemont Ave
Roseburg, OR 97470-3535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 201392914NP-PP (OR) |
Family Nurse Practitioner: Definition to come...
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About NPI 1689001000
Forest Wayne Shira, FNP-C's National Provider Identifier is 1689001000, issued on Sep 30, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Roseburg, OR. The record was last updated on Apr 9, 2014.