Individual provider · Type 1 NPI

Shannon Mauk

Registered Nurse · Willoughby, OH

NPI number 1083583579 Active

Practice location

38876 Mentor Ave
Willoughby, OH 44094-7931

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN.488689 (OH)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

37 other providers at this address

Other registered nurse providers in Willoughby

See all in Willoughby →

About NPI 1083583579

Shannon Mauk's National Provider Identifier is 1083583579, issued on Nov 3, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Willoughby, OH. The record was last updated on Nov 3, 2025.