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Contact Information

SHAWN R AGENBROAD ELANDER, FNP-C
4303 VICTORY DR
AUSTIN, TX78704-7507
 Phone: 512-462-3627
 Fax: 512-462-2898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SHAWN R AGENBROAD ELANDER · (Male)

NPI # 1164655171
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 08/25/2009
Last updated 01/10/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # AP118041
  • TX Other AP118041 LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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