Individual
SHANNON DENISE BRECIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
705 SW COAST HWY, NEWPORT, OR 97365-5017
(541) 574-4860
Mailing address
PO BOX 2847, CORVALLIS, OR 97339-2847
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201702129NP-PP
OR
363LF0000X
Family Nurse Practitioner
TAPRN701508
NV
Other
Enumeration date
12/06/2016
Last updated
12/06/2021
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