Individual
AMY M SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
41 CAMDEN RD, NARRAGANSETT, RI 02882-2003
(401) 219-2633
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
50546
RI
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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