# LINDA C SHAW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1902854045
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 172076 | CO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 4679 | CO | Yes |
| 364SP0809X | Adult Psychiatric/Mental Health Clinical Nurse Specialist | 4678 | CO | — |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 12/28/2011
