IndividualActive
Eleonora Shukshina, NP
NPI 1821812934 · Family Nurse Practitioner · Gresham, OR
Provider details
- NPI number
- 1821812934
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 263643 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
689 Nw Burnside Rd
Gresham, OR 97030-3739
Phone: (503) 382-8100
Approximate (ZIP-level) locationGet directions
Mailing address
6760 E Northridge St
Mesa, AZ 85215-1671
Registry dates
- Enumerated
- 2024-11-14
- Last updated
- 2024-11-14
- Certified
- 2024-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.