Individual
SHANA S O'ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
1255 W 15TH ST STE 100, PLANO, TX 75075-7262
(888) 562-5442
(562) 499-6171
Mailing address
200 OCEANGATE STE 100, LONG BEACH, CA 90802-4317
(562) 435-3666
(562) 499-6171
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
620562
TX
363LF0000X
Family Nurse Practitioner
85787
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191807001
—
TX
Enumeration date
10/12/2007
Last updated
09/09/2025
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