Michael George Shaw, PMHNP-BC
NPI #1073058020 in Brandon, Mississippi
Provider Information
- NPI Number
- 1073058020
- Entity Type
- Individual
- Name
- Michael George Shaw, PMHNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- PMHNP-BC
- Enumeration Date
- Dec 29, 2016
- Last Updated
- Dec 29, 2016
Practice Location
- Address
- 23 PEBBLE HILL DR
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39042-2140
- Phone
- (601) 941-6897
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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