Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth Shijo Puthur

Individual provider Registered Nurse · NPI 1922851385

Elizabeth Shijo Puthur is a Nurse Practitioner in Wylie, Texas. Qualified in 2023, 3 years ago. Practices with Heal 360 Primary Care PLLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2024
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

901 Silver Sage Dr
Wylie, TX 75098-8602
Phone: (469) 867-6011
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3804 W 15th St, Plano, TX 75075-4752 — (972) 801-4200

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1156012 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 871213 (TX)

Record details

NPI number1922851385
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2024
Last updated in NPPESApril 8, 2024
Certification dateApril 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Heal 360 Primary Care Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Wylie