Individual
MRS. DANELLE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4021 AVENUE B, SCOTTSBLUFF, NE 69361-4602
(308) 635-3711
Mailing address
4021 AVENUE B, SCOTTSBLUFF, NE 69361-4602
(308) 635-3711
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
TMP-145384
KS
Other
Enumeration date
07/25/2012
Last updated
12/10/2018
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