MEDICARE: SHAPELL CARTER-COSEY NP

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	363LG0600X	Gerontology Nurse Practitioner	1112093	TX

General Provider Information

NPI Number	:	1114627700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAPELL CARTER-COSEY NP

Provider Business Mailing Address
First Line	:	6106 MORNING FERN LN
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77338-2179
Country	:	US
Telephone Number	:	281-706-9947
Fax Number	:

Provider Business Practice Location Address
First Line	:	17401 W LAKE HOUSTON PKWY APT 8107
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-5148
Country	:	US
Telephone Number	:	281-706-9947
Fax Number	:

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

Provider Enumeration Date	:	03/03/2023
Last Update Date	:	08/20/2025

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