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Individual

MORGAN KRISTA SHASTEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1255 HILYARD ST, EUGENE, OR 97401-3718
(541) 686-7300
Mailing address
1255 HILYARD ST, EUGENE, OR 97401-3718

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201603832NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
201603832NP-PP
OR
363LP2300X
Primary Care Nurse Practitioner
201603832NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0115775
OH
Enumeration date
07/10/2014
Last updated
01/09/2017
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