Individual
SHANNA MARKELL WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
400 W PLUMMER ST, EASTLAND, TX 76448-2627
(254) 629-1744
(254) 629-3904
Mailing address
400 W PLUMMER ST, EASTLAND, TX 76448-2627
(254) 629-1744
(254) 629-3904
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1112518
TX
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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