Individual
ELIZABETH RILEY SHAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055
(901) 685-2969
Mailing address
7714 POPLAR AVE, GERMANTOWN, TN 38138-3801
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
231945
TN
363LF0000X
Family Nurse Practitioner
Primary
32550
TN
Other
Enumeration date
05/03/2022
Last updated
11/22/2024
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