Individual
AMY M. SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 W MAIN ST STE 512, FRANKFORT, KY 40601-1840
(574) 546-1900
(574) 546-1999
Mailing address
312 S 4TH ST STE 700, LOUISVILLE, KY 40202-3046
(574) 546-1900
(574) 546-1999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4016107
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4016107
KY
Other
Enumeration date
04/22/2024
Last updated
04/30/2024
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