Individual
CHANDRA ANGELICA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9351 GRANT ST STE 110, THORNTON, CO 80229-4364
(887) 777-1945
(805) 413-9099
Mailing address
135 S STATE COLLEGE BLVD STE 350, BREA, CA 92821-5814
(888) 777-1945
(805) 413-9099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
61527785
WA
363L00000X
Nurse Practitioner
95025482
CA
363L00000X
Nurse Practitioner
Primary
APN.0994932-NP
CO
363LA2100X
Acute Care Nurse Practitioner
APN.0994932-NP
CO
Other
Enumeration date
08/26/2019
Last updated
03/08/2024
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