Individual
JULIE K SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2115 N KANSAS AVE, STE 103, HASTINGS, NE 68901-2640
(402) 463-6828
(402) 463-4767
Mailing address
2115 N KANSAS AVE, STE 103, HASTINGS, NE 68901-2640
(402) 463-6828
(402) 463-4767
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47063717813
—
NE
Enumeration date
05/28/2005
Last updated
05/14/2013
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