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Nicole Lynn Shaw, FNP
Family Nurse Practitioner in Three Rivers, Michigan
NPI 1417627589

Nicole Lynn Shaw is a Family Nurse Practitioner based in Granger, MI and is specialized in Family. Nicole Lynn Shaw practices in Three Rivers, MI and has the professional credentials of FNP. The NPI Number for Nicole Lynn Shaw is 1417627589 and holds a License No. 4704299077 (Michigan).

The current practice location address for Nicole Lynn Shaw is 721 6Th Ave Ste A, Three Rivers, MI and can be reached out via phone at 269-273-9782.

Location: 721 6Th Ave Ste A, Three Rivers, MI, 46530-1380
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417627589
Provider Name
Nicole Lynn Shaw
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
721 6Th Ave Ste A, Three Rivers, MI, 46530-1380
Phone Number
269-273-9782
Fax Number
Provider Enumeration Date
09/20/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1417627589 05 MI
institution
Provider Business Practice Location Address Details
Address
721 6Th Ave Ste A
City
Three Rivers
State
Michigan
Zip
49093-8378
Phone Number
269-273-9782
Fax Number
person
Provider Business Mailing Address Details
Address
721 6Th Ave Ste A
City
Three Rivers
State
Michigan
Zip
49093-8378
Phone Number
269-273-9782
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704299077 (Michigan)
Definition
Definition to come...
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