Shannon K Malloy, CRNA

Nurse anesthetist in Dallas, Texas · NPI 1811395155

Shannon Malloy is one of 613 nurse anesthetists practicing in Dallas, Texas. Shannon Malloy practices with Independent Physicians Network PLLC.

Registry record (NPPES)

NPI
1811395155
Type
Type 1 · Individual
Primary taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Address on file
1301 W. 22nd Street Ste 610
Oakbrook, IL 60523
(630) 537-1720
Enumerated
Dec 19, 2014
Record last updated
Dec 19, 2014
License states listed
IL

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Certified Registered Nurse Anesthetist (CRNA)
Revalidation due
No date set by CMS

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Practice locations

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.