person
Todd Shaw
Family Nurse Practitioner in Fort Wayne, Indiana
NPI 1558923417

Todd Shaw is a Family Nurse Practitioner based in Pittsburgh, IN and is specialized in Family. Todd Shaw practices in Fort Wayne, IN. The NPI Number for Todd Shaw is 1558923417 and holds a License No. 71009323A (Indiana).

The current practice location address for Todd Shaw is 3512 Stellhorn Rd, Fort Wayne, IN and can be reached out via phone at 260-483-9081 and via fax at 260-483-9196.

Location: 3512 Stellhorn Rd, Fort Wayne, IN, 15251-9500
person
Provider Profile Details
NPI Number
1558923417
Provider Name
Todd Shaw
Credential
Provider Entity Type
Individual
Gender
Male
Address
3512 Stellhorn Rd, Fort Wayne, IN, 15251-9500
Phone Number
260-483-9081
Fax Number
260-483-9196
Provider Enumeration Date
07/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3512 Stellhorn Rd
City
State
Zip
46815-4631
Phone Number
260-483-9081
Fax Number
260-483-9196
person
Provider Business Mailing Address Details
Address
3512 Stellhorn Rd
City
State
Zip
46815-4631
Phone Number
260-483-9081
Fax Number
260-483-9196
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71009323A (Indiana)
Definition
Definition to come...
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