person
Susan M Shaw, FNP
Family Nurse Practitioner in Evansville, Indiana
NPI 1609093772

Susan M Shaw is a Family Nurse Practitioner based in Belfast, IN and is specialized in Family. Susan M Shaw practices in Evansville, IN and has the professional credentials of FNP. The NPI Number for Susan M Shaw is 1609093772 and holds a License No. 71000556A (Indiana).

The current practice location address for Susan M Shaw is 3838 N 1St Ave, Evansville, IN and can be reached out via phone at 812-402-8808.

Location: 3838 N 1St Ave, Evansville, IN, 04915-4021
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Provider Profile Details
NPI Number
1609093772
Provider Name
Susan M Shaw
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3838 N 1St Ave, Evansville, IN, 04915-4021
Phone Number
812-402-8808
Fax Number
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000543000 01 IN ANTHEM PIN
200859330E 01 IN MEDICAID GROUP
250470 01 IN MEDICARE GROUP
200406290 05 IN
institution
Provider Business Practice Location Address Details
Address
3838 N 1St Ave
City
State
Zip
47710-3326
Phone Number
812-402-8808
Fax Number
person
Provider Business Mailing Address Details
Address
3838 N 1St Ave
City
State
Zip
47710-3326
Phone Number
812-402-8808
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71000556A (Indiana)
Definition
Definition to come...
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