Provider Demographics
NPI:1598217317
Name:PAPPACHAN, SHALINI (FNP)
Entity Type:Individual
Prefix:
First Name:SHALINI
Middle Name:
Last Name:PAPPACHAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17490 HIGHWAY 3
Mailing Address - Street 2:SUITE A-200
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4160
Mailing Address - Country:US
Mailing Address - Phone:405-361-4643
Mailing Address - Fax:
Practice Address - Street 1:17490 HIGHWAY 3
Practice Address - Street 2:SUITE A-200
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4160
Practice Address - Country:US
Practice Address - Phone:281-338-6500
Practice Address - Fax:832-905-5905
Is Sole Proprietor?:No
Enumeration Date:2016-10-27
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131403363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily