Individual
ELIZABETH SHANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1212 S GREENFIELD RD, MESA, AZ 85206-2792
(480) 654-8920
Mailing address
155 W COMBS RD, SAN TAN VALLEY, AZ 85140-9108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
239953
AZ
Other
Enumeration date
05/02/2020
Last updated
03/31/2026
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