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Individual

MS. LESLIE C SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP-BC

Contact information

Practice address
3803 SPRING ST, MOUNT PLEASANT, WI 53405-1660
(262) 687-8260
Mailing address
3803 SPRING ST, MOUNT PLEASANT, WI 53405-1660
(262) 687-8260

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
164040-030
WI

Other

Enumeration date
05/20/2013
Last updated
10/28/2014
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