MEDICARE: MR. MICHAEL SHAWN STOCKMAN CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	R073180	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326043365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL SHAWN STOCKMAN CRNP

Provider Business Mailing Address
First Line	:	5408 BARTONSVILLE RD
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21704-6802
Country	:	US
Telephone Number	:	301-694-0715
Fax Number	:

Provider Business Practice Location Address
First Line	:	440 KOONCE RD
Second Line	:
City	:	HARPERS FERRY
State	:	WV
Zip	:	25425-3126
Country	:	US
Telephone Number	:	304-724-5918
Fax Number	:	304-724-5920

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	10/20/2009

Similar Medicare Providers

1326046194 — BLUE RIDGE MT. VOLUNTEER FIRE CO.
Practice Location Address:

181 KEYES GAP RD
HARPERS FERRY, WV
25425-4639

Practice Phone: 304-728-8006
Practice Fax:

1609843960 — DR. JOHN WARNER ALDIS M.D.
Practice Location Address:

171 TAYLOR ST
HARPERS FERRY, WV
25425-3641

Practice Phone: 304-535-6343
Practice Fax: 304-535-6618

1487613998 — DR. ROSEMARIE C LORENZETTI M.D.
Practice Location Address:

171 TAYLOR ST
HARPERS FERRY, WV
25425-3641

Practice Phone: 304-535-6343
Practice Fax: 304-535-6618

1932169935 — DR. DAVID A BALTIERRA M.D.
Practice Location Address:

31 TAYLOR ST
HARPERS FERRY, WV
25425-9519

Practice Phone: 304-535-6343
Practice Fax:

1609837194 — DR. MARK T CUCUZZELLA M.D.
Practice Location Address:

31 TAYLOR ST
HARPERS FERRY, WV
25425-9519

Practice Phone: 304-535-6343
Practice Fax:

1508820093 — CAROLYN DONOVAN CCNS, NP
Practice Location Address:

31 TAYLOR ST
HARPERS FERRY, WV
25425-9519

Practice Phone: 304-535-6343
Practice Fax: 304-293-6963

Directions to “ MR. MICHAEL SHAWN STOCKMAN CRNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.