Individual
JOANNA F SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5308 HARROUN RD, # 155, SYLVANIA, OH 43560-2193
(419) 824-6100
(419) 841-7735
Mailing address
1 SEAGATE, # 800, TOLEDO, OH 43604-1558
(567) 585-1969
(419) 824-7359
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19262
OH
Other
Enumeration date
06/20/2016
Last updated
11/03/2023
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