Individual
BROOKE JALEIGH SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5350 CLUM RD, LIMA, OH 45806-9246
(419) 230-0072
Mailing address
5350 CLUM RD, LIMA, OH 45806-9246
(419) 230-0072
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0033146
OH
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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