Individual
SHAINA STAVINOHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4268
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP128391
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
AP128391
TX
363LP2300X
Primary Care Nurse Practitioner
AP128391
TX
Other
Enumeration date
11/23/2015
Last updated
04/08/2026
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