Individual provider · Type 1 NPI

Tiffany Lynn Shanahan, NP-C

Family Nurse Practitioner · Bentonville, AR

NPI number 1750818894 Active

Practice location

3101 SE 14th St
Bentonville, AR 72712

Call (479) 986-6090 Map

Fax (479) 986-6250

Other practice locations

701 SW Regional Airport Blvd, Bentonville, AR 72712-4589 · (479) 319-5200
1 Mercy Way Ste 20, Bella Vista, AR 72714-3000 · (479) 802-5555

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	A005159 (AR)

Family Nurse Practitioner: Definition to come...

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About NPI 1750818894

Tiffany Lynn Shanahan, NP-C's National Provider Identifier is 1750818894, issued on May 19, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bentonville, AR. The record was last updated on Jul 21, 2022.