Individual
SHANNON RENE' ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3000 N. IH-35, SUITE 700, AUSTIN, TX 78705-1852
(512) 807-3150
(512) 458-7879
Mailing address
3000 N IH 35 STE 700, AUSTIN, TX 78705-1852
(512) 807-3150
(512) 458-7879
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP140791
TX
Other
Enumeration date
02/27/2019
Last updated
11/05/2025
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