Individual
SHANNON NICHOLE MATSUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8300 N LAMAR BLVD STE 200A, AUSTIN, TX 78753-5976
(888) 201-5112
(512) 782-9316
Mailing address
8300 N LAMAR BLVD STE 200A, AUSTIN, TX 78753-5976
(512) 782-9312
(512) 782-9316
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
872145
TX
363L00000X
Nurse Practitioner
AP1071993
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP1071993
TX
Other
Enumeration date
11/17/2021
Last updated
12/23/2025
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