Individual
PATRICIA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2451 AVENIDA CHAPARRAL, SANTA FE, NM 87505-5568
(505) 467-1405
Mailing address
17 CUMBRES PASS, SANTA FE, NM 87508-2195
(773) 425-1769
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-88745
NM
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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