Individual
JANNA R SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2500 W 12TH ST, ERIE, PA 16505-4500
(814) 836-2600
Mailing address
916 SILL AVE, ERIE, PA 16505-3918
(814) 460-8451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP027719
PA
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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