Individual
MS. SHAWNA A WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, BC, ANP
Contact information
Practice address
601 E 15TH ST, AUSTIN, TX 78701-1930
(512) 324-7000
Mailing address
1240 BARTON HILLS DR, #119, AUSTIN, TX 78704-2080
(512) 326-3348
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
693287
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184837603
—
TX
05
—
184837604
—
TX
01
—
823N05
BCBS
TX
Enumeration date
11/01/2006
Last updated
12/13/2012
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