Individual
ANGELA ELLANE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1776 FOWLER ST, RICHLAND, WA 99352-4833
(509) 735-9355
(509) 222-1151
Mailing address
1776 FOWLER ST, RICHLAND, WA 99352-4833
(509) 735-9355
(509) 222-1151
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61167326
WA
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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