Individual
RICKI MARITA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
2106 WOODRUFF RD, GREENVILLE, SC 29607-6944
(864) 520-9115
Mailing address
2 FURMAN ST, GREENVILLE, SC 29611-4709
(864) 520-3054
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
29614
SC
Other
Enumeration date
12/30/2024
Last updated
11/13/2025
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