Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mariah Ann Shattuck, FNP-C

Individual provider Family Nurse Practitioner · NPI 1780481010

Mariah Ann Shattuck, FNP-C is a Nurse Practitioner in Chandler, Arizona. Qualified in 2024, 2 years ago. Practices with The Little Clinic of Arizona LLC, a 43-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2025
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2815 E Ocotillo Rd
Chandler, AZ 85249-2805
Phone: (480) 562-3998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 318824 (AZ)

Record details

NPI number1780481010
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 25, 2025
Last updated in NPPESDecember 31, 2025
Certification dateDecember 31, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice The Little Clinic Of Arizona Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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