Alice Catherine Shaw, FNP
NPI #1063020279 in South Bend, Indiana
Provider Information
- NPI Number
- 1063020279
- Entity Type
- Individual
- Name
- Alice Catherine Shaw, FNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Jul 14, 2020
- Last Updated
- May 24, 2023
Practice Location
- Address
- 4440 N PORTAGE AVE
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46628-9570
- Phone
- (574) 204-6200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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