MEDICARE: DR. SHANNON TROY HIDALGO DNP, 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
1	363LF0000X	Family Nurse Practitioner	AP04423	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679537989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHANNON TROY HIDALGO DNP, FNP-BC

Provider Business Mailing Address
First Line	:	MSU BOX 90735
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70609-0001
Country	:	US
Telephone Number	:	337-475-5748
Fax Number	:	337-478-6196

Provider Business Practice Location Address
First Line	:	550 EAST SALE ROAD
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70609-5052
Country	:	US
Telephone Number	:	337-475-5748
Fax Number	:	337-478-6196

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	06/29/2020

Similar Medicare Providers

1801003132 — DR. MARIA CARMEN PALAZZO MD PHD MMM
Practice Location Address:

5718 SAINT CHARLES AVE
NEW ORLEANS, LA
70115-5052

Practice Phone: 504-897-6555
Practice Fax:

1093309700 — TRACEY WORLEY
Practice Location Address:

1160 TUSCAWILLA DR
CHARLES TOWN, WV
25414-5052

Practice Phone: 304-270-8827
Practice Fax:

1245434711 — MR. ALEX HEATH DIBBLEY A.T.C., L.A.T.
Practice Location Address:

PO BOX 91705
LAKE CHARLES, LA
70609-0001

Practice Phone: 337-477-0248
Practice Fax: 337-477-8964

1841494580 — MS. PAMELA KNIGHT GUIDRY MS, ATC, LAT
Practice Location Address:

PO BOX 91705
LAKE CHARLES, LA
70609-0001

Practice Phone: 337-477-0248
Practice Fax:

1780873745 — MR. JAMES TIMOTHY MURPHY PT,ATC,LAT
Practice Location Address:

BOX 92735 , MCNEESE STATE UNIVERSITY
LAKE CHARLES, LA
70609-0001

Practice Phone: 337-475-5206
Practice Fax: 337-477-8964

1851616262 — MCNEESE STATE UNIVERSITY
Practice Location Address:

4205 RYAN STREET
LAKE CHARLES, LA
70609

Practice Phone: 337-475-5457
Practice Fax:

Directions to “ DR. SHANNON TROY HIDALGO DNP, FNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.