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SHANE STATHAM
Family Nurse Practitioner
NPI: 1902422603IndividualAccepts Medicare
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
1017571(TX)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2020
Contact & Hours
- Address
- 5800 KELL BLVD STE 500
WICHITA FALLS, TX 76310 - Phone
- (940) 260-8976
Quick Facts
- NPI
- 1902422603
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 6
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