Individual
MRS. ANNA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1755 N FLORIDA AVE, LAKELAND, FL 33805-3109
(863) 904-6201
(866) 264-8519
Mailing address
4200 W EMPEDRADO ST, TAMPA, FL 33629-6602
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN9234939
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN9234939
FL
Other
Enumeration date
01/25/2010
Last updated
11/20/2024
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