Provider Profile
Listed in the NPI registry as a licensed practical nurse, Misty Shadduck, LPN practices in Mesa, AZ. Misty is also listed as specializing in student in an organized health care education program.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
455 N MESA DR STE 8E
Mesa, AZ 85201
Misty Shadduck is a practical nurse in Mesa, AZ. That is the designation recorded for this NPI in the federal registry, where it is listed as “Licensed Practical Nurse”.
NPI registry
Misty Shadduck is listed at 455 N Mesa Dr Ste 8E, Mesa, AZ 85201. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (937) 768-2544. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Misty Shadduck's National Provider Identifier is 1043080476. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Misty Shadduck has 2+ years experience. Registered with an NPI since 2024. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.
NPI registry
Not yet. This profile is built from public federal data and has not been confirmed by Misty Shadduck. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.