Individual
MS. SHANNON CRENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP132440
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365395801
—
TX
01
—
365395802
CSHCN
TX
Enumeration date
11/07/2016
Last updated
01/20/2017
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