Individual provider · Type 1 NPI
Laura Ann Shattuck, PNP
Primary Care Nurse Practitioner · Beavercreek, OR
NPI number
1962540310
Active
Practice location
21440 S Upper Highland Rd
Beavercreek, OR 97004-8814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1962540310
Laura Ann Shattuck, PNP's National Provider Identifier is 1962540310, issued on Feb 1, 2007. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Beavercreek, OR. The record was last updated on Jul 8, 2007.