Mitchell, Shannon Larie
Mitchell, Shannon Larie is an individual health care provider with primary practice located at 5002 Cowhorn Creek Rd , Texarkana TX 75503-9766. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Mitchell, Shannon Larie can be contacted via phone (903) 614-3000.Contact Information
Primary practice address
5002 Cowhorn Creek Rd
Texarkana TX 75503-9766
Phone: (903) 614-3000
Fax: (903) 614-3525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 653277 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP115188 | Texas |
Profile Details
| NPI number | 1669665964 |
|---|---|
| LBN Legal business name | Mitchell, Shannon Larie |
| Credentials | RN-ACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2007 |
| Last updated | Aug 3rd, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669665964 | NPPES |
| Texas | Other | AP115188 | APRN |
| Texas | Other | 653277 | APRN |
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