Individual
MARY ANN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
207 W MAIN AVE, ROCKFORD, IA 50468-1213
(563) 726-2296
Mailing address
207 W MAIN AVE, ROCKFORD, IA 50468-1213
(563) 726-2296
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A160607
IA
Other
Enumeration date
09/04/2020
Last updated
09/11/2020
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