Individual
SHANNON MAWYIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
520 S SANTA FE AVE, 260, SALINA, KS 67401-4190
(785) 827-2238
(785) 827-1684
Mailing address
5525 SW MAUPIN LANE, TOPEKA, KS 66610
(314) 660-4294
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
557253
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20109546A
—
KS
Enumeration date
03/26/2014
Last updated
05/24/2024
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