Individual
ANGELA M SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4757 S 7TH ST, TERRE HAUTE, IN 47802-4559
(812) 234-2289
(812) 232-4234
Mailing address
9901 E STATE ROAD 246, LEWIS, IN 47858-9744
(812) 240-5546
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71009500A
IN
363L00000X
Nurse Practitioner
F02190171
IN
Other
Enumeration date
06/26/2019
Last updated
03/14/2024
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