Provider Demographics
NPI:1073011300
Name:HANIGAN, SHELBY LEIGH (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:SHELBY
Middle Name:LEIGH
Last Name:HANIGAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:SHELBY
Other - Middle Name:LEIGH
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:849 COLISEUM WAY
Mailing Address - Street 2:ACU BOX 28154
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79699-8154
Mailing Address - Country:US
Mailing Address - Phone:325-674-2145
Mailing Address - Fax:325-674-6998
Practice Address - Street 1:849 COLISEUM WAY
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79699-8154
Practice Address - Country:US
Practice Address - Phone:325-674-2145
Practice Address - Fax:325-674-6998
Is Sole Proprietor?:No
Enumeration Date:2018-02-01
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136334363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily