Shanna Nicole Roark
Nurse Practitioner - Critical Care Medicine
1111 Medical Plaza Dr Ste 250
Shenandoah
, Texas 77380-3477
Shanna Nicole Roark
Nurse Practitioner - Critical Care Medicine
1111 Medical Plaza Dr Ste 250
Shenandoah
, Texas 77380-3477
(713) 294-6309
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Shanna Nicole Roark
- 319 Wild Bird Dr
- Spring, TX
- Zip : 77373-8382
- Phone : (713) 294-6309
Second Address
- Shanna Nicole Roark
- 1111 Medical Plaza Dr Ste 250
- Shenandoah, TX
- Zip : 77380-3477
- Phone : (281) 296-8788
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP145040 | TX |
National Provider Identifier
| NPI | 1154953214 |
|---|---|
| Provider Name | Shanna Nicole Roark |
| First Address | Spring, TX 77373-8382 |
| Second Address | Shenandoah, TX 77380-3477 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2020 |
| Last Update Date | 06/02/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.