Individual
CHRISTIAN NICOLE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
716 POPLAR ST, MURRAY, KY 42071-2546
(270) 752-2936
Mailing address
716 POPLAR ST, MURRAY, KY 42071-2546
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
173929
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86072940
CDR
KY
Enumeration date
11/21/2017
Last updated
11/21/2017
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