MEDICARE: SHANNON PRITCHETT 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
1	363LF0000X	Family Nurse Practitioner	RNP331548	AZ

General Provider Information

NPI Number	:	1124987813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON PRITCHETT FNP-C

Provider Business Mailing Address
First Line	:	3370 S MERCY RD STE 314
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85297-0417
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3370 S MERCY RD STE 314
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85297-0417
Country	:	US
Telephone Number	:	480-782-0993
Fax Number	:

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

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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