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Individual

MRS. MELISSA ANNE SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
5153 N 9TH AVE STE 207, PENSACOLA, FL 32504-5705
(850) 416-5050
Mailing address
PO BOX 2699, ATTN: SHMG/HPE, PENSACOLA, FL 32513-2699
(850) 416-5050
(850) 416-5022

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
9326702
FL

Other

Enumeration date
05/26/2018
Last updated
12/06/2018
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