STACI ANTAYA BA, BSN, MSN, FNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1396555652- Provider Type
- Individual Provider (NPI-1)
- Credentials
- BA, BSN, MSN, FNP
- Status
- Active
Contact & Location
- Address
- 3617 S PACIFIC HWY, MEDFORD, OR, 975018957
- Phone
- (541) 535-6239
Specialties & Taxonomies
Registered Nurse
License: OR #200540315RN
Nurse Practitioner, Family
Primary License: OR #10038520