Individual
HANNAH CAROLINE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2085 FRONTIS PLAZA BLVD, WINSTON SALEM, NC 27103-5614
(704) 316-4136
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011178
NC
363LF0000X
Family Nurse Practitioner
5011178
NC
Other
Enumeration date
11/03/2018
Last updated
08/05/2024
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