Individual
KRISTIAN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9625 W RUSSELL RD APT 2108, LAS VEGAS, NV 89148-4549
(678) 254-5045
Mailing address
9625 W RUSSELL RD APT 2108, LAS VEGAS, NV 89148-4549
(678) 254-5045
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
895060
NV
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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