Individual provider · Type 1 NPI
Shanon Elizabeth Paxson
Private Vehicle · Grove, OK
NPI number
1376740019
Active
Practice location
25322 S 603 Rd
Grove, OK 74344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 1000670490A (OK) |
| Private Vehicle Primary | 347C00000X | 1000670490C (OK) |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
About NPI 1376740019
Shanon Elizabeth Paxson's National Provider Identifier is 1376740019, issued on Jun 27, 2007. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Grove, OK. The record was last updated on Sep 11, 2025.