person
Ellen A Shaw, PNP
Pediatric Nurse Practitioner in New York, New York
NPI 1497792667

Ellen A Shaw is a Pediatric Nurse Practitioner based in New York, NY and is specialized in Pediatrics. Ellen A Shaw practices in New York, NY and has the professional credentials of PNP. The NPI Number for Ellen A Shaw is 1497792667 and holds a License No. F3810081 (New York).

The current practice location address for Ellen A Shaw is 3959 Broadway, New York, NY and can be reached out via phone at 212-304-7250 and via fax at 212-544-1974. You can also correspond with Ellen A Shaw through the mailing address at 3959 BROADWAY, NEW YORK, NY - 10032-1559 (mailing address contact number: 212-304-7250).

Location: 3959 Broadway, New York, NY, 10032-1559
person
Provider Profile Details
NPI Number
1497792667
Provider Name
Ellen A Shaw
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
3959 Broadway, New York, NY, 10032-1559
Phone Number
212-304-7250
Fax Number
212-544-1974
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
02752129 05 NY
0105678 05 NJ
institution
Provider Business Practice Location Address Details
Address
3959 Broadway
City
State
Zip
10032-1559
Phone Number
212-304-7250
Fax Number
212-544-1974
person
Provider Business Mailing Address Details
Address
3959 Broadway
City
State
Zip
10032-1559
Phone Number
212-304-7250
Fax Number
212-544-1974
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
F3810081 (New York)
Definition
Definition to come...
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