Individual
SHANNON SHELLY BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP-AC/PC
Contact information
Practice address
4910 MUELLER BLVD STE 300, AUSTIN, TX 78723-3079
(512) 669-1516
Mailing address
4910 MUELLER BLVD STE 300, AUSTIN, TX 78723-3079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
934712
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
1106471
TX
Other
Enumeration date
06/02/2021
Last updated
02/19/2023
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