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NPI Code Detail

MEDICARE: SHANTAVIA MCCARTNEY FNP-BC

MEDICARE: SHANTAVIA MCCARTNEY FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1068927TX

General Provider Information

NPI Number : 1578499323
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANTAVIA MCCARTNEY FNP-BC
Provider Business Mailing Address
First Line : 3208 OVERLOOK DR
Second Line :
City : ROYSE CITY
State : TX
Zip : 75189-5170
Country : US
Telephone Number : 317-724-3810
Fax Number : 317-724-3810
Provider Business Practice Location Address
First Line : 13154 COIT RD
Second Line :
City : DALLAS
State : TX
Zip : 75240-5773
Country : US
Telephone Number : 469-726-2421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2026
Last Update Date : 06/20/2026

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Directions to “ SHANTAVIA MCCARTNEY FNP-BC” Practice Location

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