Pothukanuri, Wendi Shanahan

Pothukanuri, Wendi Shanahan is an individual health care provider with primary practice located at 12230 Coit Rd Ste 120 , Dallas TX 75251-2323. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pothukanuri, Wendi Shanahan can be contacted via phone (888) 339-0906.

Contact Information

Primary practice address
12230 Coit Rd Ste 120 Dallas TX 75251-2323
Phone: (888) 339-0906
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 689103 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP115675 Texas

Profile Details

NPI number 1669661146
LBN Legal business name Pothukanuri, Wendi Shanahan
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2007
Last updated Dec 4th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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