Ms Laura Ann Shattuck, PNP is a
Nurse Practitioner - Primary Care based in Beavercreek, Oregon. Ms Laura Ann Shattuck is licensed to practice in Oregon (license number ) and her current practice location is
21440 S Upper Highland Rd, Beavercreek, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 632-3172.
NPI number for Ms Laura Ann Shattuck is 1962540310 and her current mailing address is 21440 S Upper Highland Rd, Beavercreek, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962540310.
Provider's Profile
| Full Name | Ms Laura Ann Shattuck |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Primary Care |
|---|
| Location | 21440 S Upper Highland Rd, Beavercreek, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1962540310
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Laura Ann Shattuck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962540310 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP2300X | Nurse Practitioner - Primary Care | (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Laura Ann Shattuck is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Laura Ann Shattuck, PNP
21440 S Upper Highland Rd,
Beavercreek, OR 97004-8814
Ph: (503) 632-3172 | Ms Laura Ann Shattuck, PNP
21440 S Upper Highland Rd,
Beavercreek, OR 97004-8814
Ph: (503) 632-3172 |
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