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General NPI Number Information
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NPI Number | 1508350802
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Entity Type | Individual
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Provider Name | SHANNON LEA WARREN DNP, APRN, AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/19/2018
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 2801 FRANCISCAN DR
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City | BRYAN
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State | TX
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Zip | 77802-2544
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Country | US
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Telephone | 979-776-3777
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Fax |
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Provider Business Mailing Address
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Address Line | 21110 OLD BAUER RD
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City | HOCKLEY
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State | TX
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Zip | 77447-2024
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Country | US
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Telephone | 346-273-8088
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP137794
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License Number State | TX
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