Individual
COLEEN K. SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., N.P.
Contact information
Practice address
2109 HUGHES DR, JOBST TOWER #640, TOLEDO, OH 43606-3856
(419) 291-8892
(419) 291-6436
Mailing address
2109 HUGHES DR, JOBST TOWER #640, TOLEDO, OH 43606-3856
(419) 291-8892
(419) 291-6436
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.128821-COA1
OH
363LP0200X
Pediatric Nurse Practitioner
COA.01644-NP
OH
Other
Enumeration date
04/11/2007
Last updated
09/11/2025
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