Individual
MRS. NATY JANE DEMONTEVERDE SHACKELFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN, AG-ACNP
Contact information
Practice address
13409 GEORGIA HOLLOW COURT, ROSHARON, TX 77583-2278
(281) 827-9689
Mailing address
13409 GEORGIA HOLLOW COURT, ROSHARON, TX 77583-2278
(281) 827-9689
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
715619
TX
Other
Enumeration date
11/14/2019
Last updated
10/13/2020
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