Individual
REBECCA ANN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 PLAZA DR SE STE C, YELM, WA 98597-8841
(360) 999-3440
Mailing address
106 PLAZA DR SE STE C, YELM, WA 98597-8841
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP.61617606-NP
WA
363LF0000X
Family Nurse Practitioner
APN.0998047-NP
CO
363LF0000X
Family Nurse Practitioner
LG-0001398
DE
Other
Enumeration date
03/04/2020
Last updated
03/03/2026
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