Individual
SHAYNA DAE EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 250-3120
Mailing address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 250-3120
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
780351
TX
Other
Enumeration date
01/23/2015
Last updated
04/09/2026
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