Provider Demographics
NPI:1932199023
Name:MAPLETON, SHAWN CYRIL (MD)
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:CYRIL
Last Name:MAPLETON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 ALMOND TREE LANE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104
Mailing Address - Country:US
Mailing Address - Phone:702-657-3873
Mailing Address - Fax:702-636-0787
Practice Address - Street 1:1140 ALMOND TREE LANE
Practice Address - Street 2:SUITE 306
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104
Practice Address - Country:US
Practice Address - Phone:702-657-3873
Practice Address - Fax:702-636-0787
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV10284207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVH83907Medicare UPIN