Individual
PADEN WILLIAM SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1606 N BROADWAY ST, PITTSBURG, KS 66762-3022
(620) 231-0958
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2024032097
MO
363L00000X
Nurse Practitioner
Primary
79002
KS
Other
Enumeration date
10/25/2019
Last updated
09/25/2024
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