Individual
CHRISTINE R SHAW
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD, APRN-BC
Contact information
Practice address
MARQUETTE CLINIC FOR WOMEN AND CHILDREN, 530 N. 16TH ST., MILWAUKEE, WI 53201-1881
(414) 345-3250
(414) 345-3249
Mailing address
2353 N LEFEBER AVE, WAUWATOSA, WI 53213-1217
(414) 288-3843
(414) 288-1939
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
55699-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43949500
—
WI
Enumeration date
05/31/2005
Last updated
07/08/2007
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