Individual
CARRIE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 KEEWAYDIN DR, SALEM, NH 03079-2839
(800) 995-2673
(888) 979-6551
Mailing address
2 KEEWAYDIN DR, SALEM, NH 03079-2839
(800) 995-2673
(888) 979-6551
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN280511
MA
163W00000X
Registered Nurse
Primary
RN43968
ME
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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