Individual
SHATERRA MCCOLLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4054
(682) 885-7497
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-7337
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP135828
TX
363LP2300X
Primary Care Nurse Practitioner
AP135828
TX
363LW0102X
Women's Health Nurse Practitioner
AP135828
TX
Other
Enumeration date
02/07/2018
Last updated
03/07/2024
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