Individual
KATHERINE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 E 92ND ST, 2, NEW YORK, NY 10128-0622
(203) 561-9835
Mailing address
27 E 92ND ST, APT 2, NEW YORK, NY 10128-0622
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
576202
NY
363LP0200X
Pediatric Nurse Practitioner
F382164
NY
Other
Enumeration date
12/12/2010
Last updated
12/13/2010
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