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NICOLE SHAW, NP
NP
Nurse Practitioner
NPI: 1346614138IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
71005611A(IN)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2014
Contact & Hours
- Address
- 11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN 46845 - Phone
- (260) 266-8907
Quick Facts
- NPI
- 1346614138
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 12
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