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Individual

MRS. FONDA KAY SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP/CNM

Contact information

Practice address
5730 PACKARD AVE STE 500, MARYSVILLE, CA 95901-7119
(530) 749-3242
(530) 767-1020
Mailing address
1114 YUBA ST STE 220, MARYSVILLE, CA 95901-4838
(530) 749-3242
(530) 743-5044

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP12989
CA
367A00000X
Advanced Practice Midwife
1854
CA

Other

Enumeration date
08/31/2006
Last updated
03/25/2025
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