Individual
GREGORY SCOTT SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
40910 FREMONT BLVD, FREMONT, CA 94538-4375
(510) 770-8040
Mailing address
40910 FREMONT BLVD, FREMONT, CA 94538-4375
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95193337
CA
363L00000X
Nurse Practitioner
Primary
95017132
CA
Other
Enumeration date
01/19/2020
Last updated
03/23/2026
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