Individual
SHANNA NICOLE ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, MSN, AGACNP-BC
Contact information
Practice address
1111 MEDICAL PLAZA DR STE 250, SHENANDOAH, TX 77380-3477
(281) 296-8788
Mailing address
319 WILD BIRD DR, SPRING, TX 77373-8382
(713) 294-6309
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
AP145040
TX
Other
Enumeration date
02/06/2020
Last updated
09/19/2024
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