MEDICARE: SHAWN CYRIL MAPLETON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	10284	NV

General Provider Information

NPI Number	:	1932199023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWN CYRIL MAPLETON M.D.

Provider Business Mailing Address
First Line	:	1140 ALMOND TREE LANE
Second Line	:	SUITE 306
City	:	LAS VEGAS
State	:	NV
Zip	:	89104
Country	:	US
Telephone Number	:	702-657-3873
Fax Number	:	702-636-0787

Provider Business Practice Location Address
First Line	:	1140 ALMOND TREE LANE
Second Line	:	SUITE 306
City	:	LAS VEGAS
State	:	NV
Zip	:	89104
Country	:	US
Telephone Number	:	702-657-3873
Fax Number	:	702-636-0787

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	02/06/2017

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