Provider Demographics
NPI:1235310962
Name:ARMSTRONG, SHANELL (RN)
Entity Type:Individual
Prefix:
First Name:SHANELL
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9708 CALLE DEL ORO LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75217-8089
Mailing Address - Country:US
Mailing Address - Phone:214-962-4844
Mailing Address - Fax:
Practice Address - Street 1:9708 CALLE DEL ORO LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75217-8089
Practice Address - Country:US
Practice Address - Phone:214-962-4844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-22
Last Update Date:2007-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX688362163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse