Individual
DONNA MARIE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3325 ROBINHOOD RD, WINSTON SALEM, NC 27106-5403
(336) 765-5361
Mailing address
4601 BAY CREEK DR, WINSTON SALEM, NC 27106-9422
(336) 829-9552
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5011027
NC
Other
Enumeration date
09/18/2018
Last updated
07/01/2024
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