Individual
MS. BARBARA LOUISE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2196 WHITE BEAR AVE N, MAPLEWOOD, MN 55109-2708
(866) 389-2727
Mailing address
3308 47TH AVE S, MINNEAPOLIS, MN 55406-2345
(816) 716-5043
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
104969
MO
363LF0000X
Family Nurse Practitioner
104969
MO
363LF0000X
Family Nurse Practitioner
44693
KS
363LF0000X
Family Nurse Practitioner
Primary
5127
MN
Other
Enumeration date
08/01/2006
Last updated
06/01/2020
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