Individual
MRS. KATHERINE DALE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1215 LEIGH ST, CHARLOTTESVILLE, VA 22908-0001
(434) 924-2488
(434) 982-4058
Mailing address
411 CHIMNEY ROCK RD, EARLYSVILLE, VA 22936
(434) 960-1553
(434) 982-4058
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024164222
VA
Other
Enumeration date
04/27/2007
Last updated
03/29/2010
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