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Individual
DIXIE SHANU
Active
Individual
DIXIE SHANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1169383
TX
363LF0000X
Family Nurse Practitioner
9254490
FL
363LN0000X
Neonatal Nurse Practitioner
9254490
FL
Other
Enumeration date
12/27/2017
Last updated
07/24/2025
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