Shanda Lynne Petty, MSN, APRN, FNP-C

Family Nurse Practitioner · Sunset, TX

Individual Active NPI

NPI number 1013668037

Practice location

2046 County Road 1790
Sunset, TX 76270-5331
Phone
(940) 255-6009

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NPI record

NPI
1013668037
Entity type
Individual (Type 1)
Enumeration date
January 11, 2022
Last updated
September 15, 2022
Certified
September 15, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Family Nurse Practitioner Primary 363LF0000X F08220790 TX

About Shanda Petty

Shanda Lynne Petty, MSN, APRN, FNP-C is a healthcare provider registered in the NPI registry with the primary taxonomy Family Nurse Practitioner (code 363LF0000X). The practice location is 2046 County Road 1790, Sunset, TX 76270-5331. The NPI number 1013668037 was assigned on January 11, 2022 and the record was last updated on September 15, 2022.

Shanda Petty lists a license in the registry: #F08220790 (TX) for Family Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shanda Lynne Petty, MSN, APRN, FNP-C?

The NPI number is 1013668037.

What is the phone number of Shanda Petty?

The phone number listed for the practice location is (940) 255-6009.

Where is Shanda Petty located?

2046 County Road 1790, Sunset, TX 76270-5331.

What is the taxonomy code for Shanda Petty?

The primary taxonomy code is 363LF0000X – Family Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.