Provider Demographics
NPI:1215607288
Name:NAFZIGER, CARRIE SHAHEIRA (FNP-BC)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:SHAHEIRA
Last Name:NAFZIGER
Suffix:
Gender:
Credentials:FNP-BC
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:
Other - Last Name:FIGUEROA-NAFZIGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2473 NE 27TH DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97367-4444
Mailing Address - Country:US
Mailing Address - Phone:540-433-3873
Mailing Address - Fax:
Practice Address - Street 1:36 SW NYE ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-3821
Practice Address - Country:US
Practice Address - Phone:541-265-4947
Practice Address - Fax:541-265-7670
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-20
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR202109868NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily