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NPI Code Detail

MEDICARE: ISIAH SHAUGHNESSY

MEDICARE: ISIAH SHAUGHNESSY
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
1163WE0003XEmergency Registered Nurse13-154912-032KS
2363LF0000XFamily Nurse Practitioner53-85782-032KS

General Provider Information

NPI Number : 1467306381
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISIAH SHAUGHNESSY
Provider Business Mailing Address
First Line : 523 BRIARWOOD DR
Second Line :
City : IOLA
State : KS
Zip : 66749-2700
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3066 N KENTUCKY ST
Second Line :
City : IOLA
State : KS
Zip : 66749-1951
Country : US
Telephone Number : 620-228-7519
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2026
Last Update Date : 06/25/2026

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Directions to “ ISIAH SHAUGHNESSY ” Practice Location

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