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NPI Code Detail

MEDICARE: SHAUNTAVIA WARD FNP-C

MEDICARE: SHAUNTAVIA WARD FNP-C
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 Practitioner95008341CA
2363LF0000XFamily Nurse PractitionerAP130140TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023470689
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAUNTAVIA WARD FNP-C
Provider Business Mailing Address
First Line : 4515 SETON CENTER PKWY STE 215
Second Line :
City : AUSTIN
State : TX
Zip : 78759-5785
Country : US
Telephone Number : 512-231-5507
Fax Number :
Provider Business Practice Location Address
First Line : 511 N HOLLYWOOD WAY
Second Line :
City : BURBANK
State : CA
Zip : 91505-3406
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2016
Last Update Date : 12/22/2025

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