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Individual

SHANNON TREVINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, AGNP-C

Contact information

Practice address
20405 STATE HIGHWAY 249 STE 325, HOUSTON, TX 77070-2893
(866) 849-0692
(888) 973-8821
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(888) 973-8821

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
183243
CO
163W00000X
Registered Nurse
760780
CA
363L00000X
Nurse Practitioner
Primary
0994056
CO
363L00000X
Nurse Practitioner
10026914
OR
363L00000X
Nurse Practitioner
1139739
TX
363L00000X
Nurse Practitioner
APRN11022196
FL

Other

Enumeration date
04/09/2012
Last updated
05/14/2025
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