NPI 1376740019

Shanon Elizabeth Paxson

Practitioner Private Vehicle Grove, OK

Practice location

Address: 25322 S 603 Rd, Grove, OK 74344
Phone: (918) 787-4368

Registered specialties (2)

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 1000670490C (OK)

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Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X Licence 1000670490A (OK)

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Registry record

NPI: 1376740019
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2007
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.