Individual
SHAWN ERIC RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2600 OTTAWA RD, NEODESHA, KS 66757-1897
(620) 325-2611
Mailing address
PO BOX 360, NEODESHA, KS 66757-0360
(620) 325-2611
(620) 325-8453
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-76041-081
KS
Other
Enumeration date
08/06/2013
Last updated
09/25/2024
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