Individual
REBECCA SHAW
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1443 CORPORATE WAY, SEYMOUR, IN 47274-3391
(812) 522-4341
(812) 522-7910
Mailing address
720 N MARR RD, COLUMBUS, IN 47201-6660
(812) 314-3400
(812) 378-8367
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
28063242
IN
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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