Individual
MANDIE L SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
216 N 2ND ST STE 5, CLEARFIELD, PA 16830-2547
(814) 205-4025
(814) 240-6632
Mailing address
216 N 2ND ST STE 5, CLEARFIELD, PA 16830-2547
(814) 205-4025
(814) 240-6632
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP016588
PA
Other
Enumeration date
09/16/2016
Last updated
01/17/2022
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