Individual
SHAWN C ISAACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-NA
Contact information
Practice address
225 ABRAHAM FLEXNER WAY, 2ND FLOOR, LOUISVILLE, KY 40202-1882
(502) 587-4799
(502) 540-3730
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 587-4799
(502) 540-3730
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3003289
KY
367500000X
Certified Registered Nurse Anesthetist
3289A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000286891
ANTHEM
KY
05
—
1125439
—
KY
05
—
200311970A
—
IN
05
—
74002403
—
KY
Enumeration date
12/05/2006
Last updated
03/28/2012
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