Individual
DR. BROOKE MARTIN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, AGNP-C
Contact information
Practice address
5514, 350 N COX ST, STE 6, ASHEBORO, NC 27203
(336) 629-2201
Mailing address
1708 BOLINGBROKE RD, HIGH POINT, NC 27265-2426
(704) 880-3665
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
246993
NC
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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