Individual
LINDSEY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
5030 N WALNUT ST, SOUTH BLOOMFIELD, OH 43103-1018
(740) 983-0015
(740) 983-4763
Mailing address
5030 S WALNUT ST, SOUTH BLOOMFIELD, OH 43103-1029
(740) 983-0015
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.0029608
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0467322
—
OH
Enumeration date
03/27/2021
Last updated
11/18/2025
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