Provider Demographics
NPI:1760103964
Name:LAWRENCE, SHAUNI MARIE (CPNP)
Entity Type:Individual
Prefix:
First Name:SHAUNI
Middle Name:MARIE
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3505 NE 34TH TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64117-2607
Mailing Address - Country:US
Mailing Address - Phone:816-536-8413
Mailing Address - Fax:
Practice Address - Street 1:9051 NE 81ST TER STE 100
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64158-1168
Practice Address - Country:US
Practice Address - Phone:816-792-1170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-06
Last Update Date:2023-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5381057062363LP0200X
MO2022009228363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
202222334OtherPEDIATRIC NURSING CERTIFICATION BOARD
KS5381057062OtherKANSAS BOARD OF NURSING
MO2022009228OtherMISSOURI STATE BOARD OF NURSING