Stacey Shaw NP

NPI 1407059439 - Registered Nurse - 163W00000X

NPI Details
NPI 1407059439
Gender Female
Enumeration Date 06/07/2007
Last Updated 12/31/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
6705 RANGEWOOD DR
COLORADO SPRINGS CO, 80918-7300, US
Phone (719) 599-7331
Fax (719) 390-1333
Business Location
6705 RANGEWOOD DR
COLORADO SPRINGS CO, 80918-7300, US
Phone (719) 599-7331
Fax (719) 390-1333
Toxanomy
Taxonomy Code 163W00000X
License State Colorado
License Number 177117
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According to our database, Stacey Shaw NP NPI is 1407059439, taxonomy code is 163W00000X and license number is 177117, license state is located at Colorado. Stacey Shaw NP physically located at 6705 Rangewood Dr, Colorado Springs CO, 80918-7300. NPI Number Stacey Shaw NP has the Individual type.

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1407059439 NPI number is provided on an as is basis without warranty of any kind. 1407059439 is maintained by the National Plan & Provider Enumeration System. The contents of Stacey Shaw NP are for informational purposes only.