Individual
NANCY CATHERINE SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
635 E BASELINE RD, PHOENIX, AZ 85042-6551
(602) 243-7277
(602) 323-3349
Mailing address
2510 W DUNLAP AVE, STE 290, PHOENIX, AZ 85021-2759
(602) 789-0344
(602) 789-8389
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN040241
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
AP2277
AZ
367A00000X
Advanced Practice Midwife
AP2277
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
971003
—
AZ
Enumeration date
03/30/2006
Last updated
01/06/2017
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