MR. MICHAEL SHAWN STOCKMAN CRNP NPI 1326043365

NPI Information

NPI: 1326043365
Provider Name: MR. MICHAEL SHAWN STOCKMAN, CRNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
440 KOONCE RD
HARPERS FERRY, WV
ZIP 25425
Phone: (304) 724-5918
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MR. Michael Shawn Stockman, CRNP is an adult health nurse practitioner in Harpers Ferry, WV. MR. Michael Shawn Stockman, CRNP NPI is 1326043365. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

440 KOONCE RD
HARPERS FERRY, WV
ZIP 25425-126
Phone: (304) 724-5918
Fax: (304) 724-5920

The enumeration date for this NPI number is 6/16/2005 and was last updated on 10/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	R073180	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00748732	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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