Individual
SHAYNA IKOAMARIE DUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 704-4900
Mailing address
13519 CANEY SPRINGS LN, HOUSTON, TX 77044-7289
(832) 212-5302
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP134454
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP134454
BOARD OF NURSING - ACUTE CARE ADULT/GERONTOLOGY NURSE PRACTITIONER
TX
Enumeration date
01/13/2018
Last updated
03/05/2019
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