Individual
VIRGINIA H. SHAW
Active
Individual
VIRGINIA H. SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71000294
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201085890
—
IN
01
—
P01588259
RR MEDICARE
IN
Enumeration date
06/22/2006
Last updated
03/14/2016
Update your record
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