Individual
HEATHER NICOLE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1010 E 10TH ST, TUCSON, AZ 85719-5813
(520) 225-6645
Mailing address
1010 E 10TH ST, TUCSON, AZ 85719-5813
(520) 225-6645
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPO44568
AZ
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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