Ms Laura Ann Shattuck, PNP in Beavercreek, OR - Nurse Practitioner

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.

Contact Information

	Ms Laura Ann Shattuck, PNP
	21440 S Upper Highland Rd, Beavercreek, OR 97004-8814
	(503) 632-3172
	Not Available

Provider's Profile

Full Name	Ms Laura Ann Shattuck
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	21440 S Upper Highland Rd, Beavercreek, Oregon
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

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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Ms Laura Ann Shattuck, PNP - Nurse Practitioner in Beavercreek, OR