person
Stacey L Shaw, ARNP
Family Nurse Practitioner in Port Orange, Florida
NPI 1366922882

Stacey L Shaw is a Family Nurse Practitioner based in Port Orange, FL and is specialized in Family. Stacey L Shaw practices in Port Orange, FL and has the professional credentials of ARNP. The NPI Number for Stacey L Shaw is 1366922882 and holds a License No. 2878322 (Florida).

The current practice location address for Stacey L Shaw is 1690 Dunlawton Ave Ste 230, Port Orange, FL and can be reached out via phone at 386-271-2273.

Location: 1690 Dunlawton Ave Ste 230, Port Orange, FL, 32127-8979
person
Provider Profile Details
NPI Number
1366922882
Provider Name
Stacey L Shaw
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
1690 Dunlawton Ave Ste 230, Port Orange, FL, 32127-8979
Phone Number
386-271-2273
Fax Number
Provider Enumeration Date
08/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1690 Dunlawton Ave Ste 230
City
State
Zip
32127-8980
Phone Number
386-271-2273
Fax Number
person
Provider Business Mailing Address Details
Address
1690 Dunlawton Ave Ste 230
City
State
Zip
32127-8980
Phone Number
386-271-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2878322 (Florida)
Definition
Definition to come...
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