Provider Demographics
NPI:1760086722
Name:MALONEY, SHANNON (WHNP)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:
Last Name:MALONEY
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7501 LAS COLINAS BLVD STE 200A
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-7002
Mailing Address - Country:US
Mailing Address - Phone:972-506-9986
Mailing Address - Fax:
Practice Address - Street 1:7501 LAS COLINAS BLVD STE 200A
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-7002
Practice Address - Country:US
Practice Address - Phone:972-506-9986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95111158163W00000X
CT122522163W00000X
TX1133714363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse