Individual
STACEY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6705 RANGEWOOD DR, COLORADO SPRINGS, CO 80918-7300
(719) 599-7331
(719) 390-1333
Mailing address
6705 RANGEWOOD DR, COLORADO SPRINGS, CO 80918-7300
(719) 599-7331
(719) 390-1333
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
177117
CO
Other
Enumeration date
06/07/2007
Last updated
12/31/2014
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