Individual
MRS. ASHLEY ERICKSEN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3710 HIGHWAY 17, MURRELLS INLET, SC 29576-5005
(843) 651-8975
Mailing address
3710 HIGHWAY 17, MURRELLS INLET, SC 29576-5005
(843) 651-8975
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21809
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9311
MEDICARE
SC
01
—
9311
BLUE CROSS BLUE SHIELD
—
01
—
93199
AETNA
—
05
—
GP5525
—
SC
Enumeration date
04/27/2018
Last updated
01/26/2025
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