Individual provider · Type 1 NPI
Shantrelle Denine Lavigne, NP-C
Family Nurse Practitioner · Dallas, TX
NPI number
1164183232
Active
Practice location
3107 W Camp Wisdom Rd Ste 170
Dallas, TX 75237-2643
Fax (972) 942-7701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1057464 (TX) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1164183232
Shantrelle Denine Lavigne, NP-C's National Provider Identifier is 1164183232, issued on Dec 31, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, TX. The record was last updated on Nov 10, 2022.