Provider Demographics
NPI:1528376480
Name:ARMSTRONG, SHAWN ERROL (RN, MSN,ACNP-BC)
Entity Type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:ERROL
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:RN, MSN,ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 N 51ST ST
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-1677
Mailing Address - Country:US
Mailing Address - Phone:254-230-7623
Mailing Address - Fax:
Practice Address - Street 1:6901 MEDICAL PKWY
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-7910
Practice Address - Country:US
Practice Address - Phone:254-751-4551
Practice Address - Fax:254-751-4550
Is Sole Proprietor?:No
Enumeration Date:2010-09-14
Last Update Date:2010-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX700804163W00000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse