Individual
CRYSTAL SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
777 NORTH ST STE 203, PITTSFIELD, MA 01201-4123
(413) 499-8590
Mailing address
56 LEROI DR, PITTSFIELD, MA 01201-5931
(336) 909-1334
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2339749
MA
Other
Enumeration date
04/07/2022
Last updated
04/27/2022
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