Provider Demographics
NPI:1477431906
Name:REGAN, SHAWN (AGACNP-BC)
Entity type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:
Last Name:REGAN
Suffix:
Gender:M
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 1:2401 BROOK HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-6403
Mailing Address - Country:US
Mailing Address - Phone:512-578-5544
Mailing Address - Fax:
Practice Address - Street 1:2401 BROOK HOLLOW DR
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-6403
Practice Address - Country:US
Practice Address - Phone:512-578-5544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1210739363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care