Individual
SARAH MARIE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 S LINDEN ST, WICHITA, KS 67207-3649
(316) 796-2013
Mailing address
1321 S LINDEN ST, WICHITA, KS 67207-3649
(316) 796-2013
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
150786
KS
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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