Edward Shane Trantham, FNP-C
Edward Shane Trantham, FNP-C is a Nurse Practitioner in Holbrook, Arizona. Qualified in 2018, 8 years ago. Accepts Medicare assignment. Licensed in Arizona.
- Years since qualifying
- 8
- Licensed in
- AZ
- In the registry since
- 2018
What do these letters mean?
- FNP-C — Family Nurse Practitioner, Certified
- A family nurse practitioner certified by the AANP.
Practice location Address checks out
2109 Navajo BlvdHolbrook, AZ 86025-1822
Phone: (928) 524-2851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 219546 (AZ) |
|---|
Record details
| NPI number | 1043780349 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | FNP-C |
| Sole proprietor | No |
| NPI enumerated | November 29, 2018 |
| Last updated in NPPES | March 19, 2021 |
| Certification date | March 19, 2021 |
| Mailing address | Po Box 3630, Flagstaff, AZ 86003-3630 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Holbrook
-
Heber George Dutson, FNP
2109 Navajo Blvd, Holbrook, AZ 86025-1822 · (928) 524-2851
-
Karen Sue Scott, APRN-C
2109 Navajo Blvd, Holbrook, AZ 86025-1822 · (928) 524-2851