Provider Demographics
NPI:1396558177
Name:FRIZZELL, SHAYNA MARIE (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:SHAYNA
Middle Name:MARIE
Last Name:FRIZZELL
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 SCHRIEWER
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-7473
Mailing Address - Country:US
Mailing Address - Phone:830-401-4880
Mailing Address - Fax:
Practice Address - Street 1:1012 SCHRIEWER
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-7473
Practice Address - Country:US
Practice Address - Phone:830-401-4880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1191467363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner