Edward Shane Trantham, FNP-C

NPI #1043780349 in Holbrook, Arizona

Provider Information

NPI Number
1043780349
Entity Type
Individual
Name
Edward Shane Trantham, FNP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP-C
Enumeration Date
Nov 29, 2018
Last Updated
Mar 19, 2021

Practice Location

Address
2109 NAVAJO BLVD
State
Arizona
ZIP Code
86025-1822
Phone
(928) 524-2851

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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