Healthcare Provider Details

I. General information

NPI: 1154251460
Provider Name (Legal Business Name): SHEA LYNN PAXTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 RESERVOIR RD NW
WASHINGTON DC
20007-2111
US

IV. Provider business mailing address

283 WILLOW GLEN RD
DILLSBURG PA
17019-8949
US

V. Phone/Fax

Practice location:
  • Phone: 877-910-4692
  • Fax:
Mailing address:
  • Phone: 717-487-0075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: