Individual
DANIEL LAURENCE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP, FNP
Contact information
Practice address
1600 N ROSE AVE, OXNARD, CA 93030-3722
(805) 988-2500
Mailing address
11856 BALBOA BLVD # 154, GRANADA HILLS, CA 91344-2753
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95012157
CA
363LF0000X
Family Nurse Practitioner
95012157
CA
Other
Enumeration date
08/06/2019
Last updated
01/22/2020
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