Individual
REBECCA ANNE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1140 E GREENWAY ST STE 1, MESA, AZ 85203-4359
(480) 296-4742
(480) 805-2184
Mailing address
1131 S PHEASANT DR, GILBERT, AZ 85296-3062
(480) 296-4742
(480) 805-2184
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
262350
AZ
Other
Enumeration date
01/17/2021
Last updated
12/10/2025
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