| Doctor Name: | MR. MICHAEL SHAWN STOCKMAN |
| NPI Number: | 1326043365 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRNP |
| License Number: | R073180 |
| Business Practice Address: | 440 Koonce Rd Harpers Ferry, WV - 254253126 |
| Business Phone Number: | 3047245918 |
| Business Fax Number: | 3047245920 |
| Mailing Address: | 5408 Bartonsville Rd, FREDERICK |
| State: | MD |
| Postal Code: | 217046802 |
| Phone Number: | 3016940715 |
| Fax Number: | |
| NPI Enumeration Date: | 06/16/2005 |
| NPI Last Update Date: | 10/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | R073180 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |