Individual
KAREN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 FACILITY DR, CLYDE, NC 28721-9438
(828) 452-2211
Mailing address
15 FACILITY DR, CLYDE, NC 28721-9438
(828) 452-2211
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5008966
NC
Other
Enumeration date
08/08/2013
Last updated
09/28/2023
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