Individual provider · Type 1 NPI

Shannon Shelly Burke, RN, MSN, CPNP-AC/PC

Pediatric Nurse Practitioner · Austin, TX

NPI number 1700452406 Active

Practice location

4910 Mueller Blvd Ste 300
Austin, TX 78723-3079

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X934712 (TX)
Pediatric Nurse Practitioner Primary 363LP0200X1106471 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1700452406

Shannon Shelly Burke, RN, MSN, CPNP-AC/PC's National Provider Identifier is 1700452406, issued on Jun 2, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Austin, TX. The record was last updated on Feb 19, 2023.