Individual
ELIZABETH J SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD,OGNP
Contact information
Practice address
5 FIRSTVILLAGE DRIVE, PINEHURST, NC 28374
(910) 295-6831
(910) 295-0244
Mailing address
5 FIRSTVILLAGE DRIVE, PINEHURST, NC 28374
(910) 295-6831
(910) 295-0244
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
800120
NC
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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