Individual
MRS. DEBRA KAY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
1301 S 8TH ST, RICHMOND, IN 47374-6901
(765) 939-3947
(765) 939-3950
Mailing address
1301 S 8TH ST, RICHMOND, IN 47374-6901
(765) 962-0713
(765) 939-3950
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71001346A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28084221A
REGISTERED NURSE #
IN
Enumeration date
03/01/2007
Last updated
03/07/2023
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