person
Alice Catherine Shaw, FNP
Family Nurse Practitioner in South Bend, Indiana
NPI 1063020279

Alice Catherine Shaw is a Family Nurse Practitioner based in South Bend, IN and is specialized in Family. Alice Catherine Shaw practices in South Bend, IN and has the professional credentials of FNP. The NPI Number for Alice Catherine Shaw is 1063020279 and holds a License No. 71010179A (Indiana).

The current practice location address for Alice Catherine Shaw is 4440 N Portage Ave, South Bend, IN and can be reached out via phone at 574-204-6200.

Location: 4440 N Portage Ave, South Bend, IN, 46628
person
Provider Profile Details
NPI Number
1063020279
Provider Name
Alice Catherine Shaw
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
4440 N Portage Ave, South Bend, IN, 46628
Phone Number
574-204-6200
Fax Number
Provider Enumeration Date
07/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4440 N Portage Ave
City
State
Zip
46628-9570
Phone Number
574-204-6200
Fax Number
person
Provider Business Mailing Address Details
Address
4440 N Portage Ave
City
State
Zip
46628-9570
Phone Number
574-204-6200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71010179A (Indiana)
Definition
Definition to come...
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