| Doctor Name: | MR. PAUL E. SHUTTLEWORTH |
| NPI Number: | 1003936956 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN, CCP |
| License Number: | 830077 |
| Business Practice Address: | 38 Highcrest Ln South San Francisco, CA - 940807303 |
| Business Phone Number: | 6503219999 |
| Business Fax Number: | 6506159995 |
| Mailing Address: | 38 Highcrest Ln, SOUTH SAN FRANCISCO |
| State: | CA |
| Postal Code: | 940807303 |
| Phone Number: | 6503219999 |
| Fax Number: | 6506159995 |
| NPI Enumeration Date: | 03/31/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 242T00000X |
| License Number: | 830077 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Perfusionist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient |