IndividualActive
Shannon Resto, NNP-BC
NPI 1760114334 · Critical Care Neonatal Nurse Practitioner · Yukon, OK
Provider details
- NPI number
- 1760114334
- Entity type
- Individual
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 209617 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11432 Nw 101st St
Yukon, OK 73099-7463
Phone: (405) 501-4784
Approximate (ZIP-level) locationGet directions
Mailing address
1076 Cottonwood Lake Dr
Divide, CO 80814-9710
Registry dates
- Enumerated
- 2022-06-30
- Last updated
- 2024-10-16
- Certified
- 2024-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.