Provider Demographics
NPI:1043821572
Name:HUNTER, WILLIAM SHAW (APRN)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:SHAW
Last Name:HUNTER
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 SETON PKWY STE 450
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-6178
Mailing Address - Country:US
Mailing Address - Phone:512-504-0860
Mailing Address - Fax:
Practice Address - Street 1:1180 SETON PKWY STE 450
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-6178
Practice Address - Country:US
Practice Address - Phone:512-504-0860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-10
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN207508163W00000X
TN28530363LF0000X
TX1204523363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNRN207508OtherSTATE OF TENNESSEE BOARD OF NURSING
TX1204523OtherAPRN LICENSE
TNAPN28530OtherSTATE OF TENNESSEE BOARD OF NURSING