Provider Demographics
NPI:1174414395
Name:SUTTON, SHYANNE (RN)
Entity type:Individual
Prefix:
First Name:SHYANNE
Middle Name:
Last Name:SUTTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 OAK HOLLOW WAY
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-1783
Mailing Address - Country:US
Mailing Address - Phone:417-365-6205
Mailing Address - Fax:
Practice Address - Street 1:301 OAK HOLLOW WAY
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-1783
Practice Address - Country:US
Practice Address - Phone:417-365-6205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1033648163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse