Individual
MRS. SHANTAY STALLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1405 HOWELL AVE, WORLAND, WY 82401
(307) 347-2555
(307) 347-9831
Mailing address
1405 HOWELL AVE, WORLAND, WY 82401
(307) 347-2555
(307) 347-9831
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
10/21/2016
Last updated
08/19/2020
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