Individual
BETH SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 GEO DRIVE, PHILIPSBURG, PA 16866
(814) 768-1200
Mailing address
1005 GREENWOOD ROAD, CURWENSVILLE, PA 16833
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG0715132
PA
Other
Enumeration date
08/28/2015
Last updated
10/05/2024
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