Individual provider · Type 1 NPI

Seattle Reign Anastasia Shakur, DO

Student in an Organized Health Care Education/Training Program · Plano, TX

NPI number 1700688496 Active

Practice location

3901 W 15th St
Plano, TX 75075-7738

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700688496

Seattle Reign Anastasia Shakur, DO's National Provider Identifier is 1700688496, issued on Mar 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Plano, TX. The record was last updated on Mar 25, 2025.