person
Debra Lynn Shaw, NP
Family Nurse Practitioner in Edina, Minnesota
NPI 1154494029

Debra Lynn Shaw is a Family Nurse Practitioner based in Elk River, MN and is specialized in Family. Debra Lynn Shaw practices in Edina, MN and has the professional credentials of NP. The NPI Number for Debra Lynn Shaw is 1154494029 and holds a License No. R144120-2 (Minnesota).

The current practice location address for Debra Lynn Shaw is 3400 West 66Th Street, Edina, MN and can be reached out via phone at 952-914-1882 and via fax at 952-914-1727.

Location: 3400 West 66Th Street, Edina, MN, 55330
person
Provider Profile Details
NPI Number
1154494029
Provider Name
Debra Lynn Shaw
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3400 West 66Th Street, Edina, MN, 55330
Phone Number
952-914-1882
Fax Number
952-914-1727
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6409270-00 05 MN
500004309 01 MN MEDICARE
institution
Provider Business Practice Location Address Details
Address
3400 West 66Th Street
City
State
Zip
55435
Phone Number
952-914-1882
Fax Number
952-914-1727
person
Provider Business Mailing Address Details
Address
3400 West 66Th Street
City
State
Zip
55435
Phone Number
952-914-1882
Fax Number
952-914-1727
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R144120-2 (Minnesota)
Definition
Definition to come...
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