Individual
MS. NANCY M SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4100
Mailing address
1880 S HOYTSVILLE RD, WANSHIP, UT 84017-9746
(435) 336-4288
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
2027604405
UT
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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