Individual
COURTNEY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8530 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-1927
(317) 472-5134
Mailing address
8530 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-1927
(317) 472-5134
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28205887A
IN
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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