Active NPIIndividual providerSole proprietor

Mrs. Shelly Ann Shaw, RN

Registered Nurse in Mount Vernon, New York

NPI Number1548567597
Practice location
602 S 5TH Ave, Ph, Mount Vernon, NY 10550-4902
Fax
—
Last updated
February 26, 2011

Shelly Ann Shaw is a Registered Nurse based in Mount Vernon, NY. Shelly Ann Shaw practices in Mount Vernon, NY and has the professional credentials of RN. The NPI Number for Shelly Ann Shaw is 1548567597 and holds a License No. 639136-1 (NY). The current practice location address for Shelly Ann Shaw is 602 S 5TH Ave, Ph, Mount Vernon, NY 10550-4902 and can be reached out via phone at 914-619-6949.

Provider Profile Details

NPI Number
1548567597
Provider Name
Shelly Ann Shaw
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
602 S 5TH Ave, Ph, Mount Vernon, NY 10550-4902
Phone Number
914-619-6949
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 26, 2011
Last Update Date
February 26, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
602 S 5TH Ave
Ph
Mount Vernon, NY 10550-4902
Zip
10550-4902
Phone Number
914-619-6949
Mount Vernon, NY 10550Get directions →

Provider Business Mailing Address Details

Address
602 S 5TH Ave
Ph
Mount Vernon, NY 10550-4902
City
Mount Vernon
State
NY
Zip
10550-4902
Phone Number
914-619-6949

License Information

License Number
639136-1
License State
NY
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Shelly Ann Shaw, RN?

The NPI number of Mrs. Shelly Ann Shaw, RN is 1548567597. It was assigned on February 26, 2011 and is currently active in the NPPES registry.

What is the specialty of Mrs. Shelly Ann Shaw, RN?

Mrs. Shelly Ann Shaw, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 639136-1.

Where does Mrs. Shelly Ann Shaw, RN practice?

The practice location is 602 S 5TH Ave, Ph, Mount Vernon, NY 10550-4902. The office can be reached at 914-619-6949 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548567597 directly on the NPPES registry website.

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