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

Misty Shadduck, LPN

Individual provider Licensed Practical Nurse · NPI 1043080476

Misty Shadduck, LPN is a Licensed Practical Nurse in Mesa, Arizona. Licensed in New York and Pennsylvania. Registered with an NPI since 2024.

Licensed in
NY, PA
In the registry since
2024
Specialties on file
3
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

455 N Mesa Dr Ste 8E
Mesa, AZ 85201-5996
Phone: (937) 768-2544
Fax: (877) 991-6652
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN301121 (PA)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 32549101 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043080476
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedJanuary 5, 2024
Last updated in NPPESJanuary 5, 2024
Certification dateJanuary 5, 2024

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