Bernice Shaw

NPI #1467314419 in La Grange, Kentucky

Provider Information

NPI Number: 1467314419
Entity Type: Individual
Name: Bernice Shaw
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Nov 28, 2025
Last Updated: Nov 28, 2025

Practice Location

Address: 1916 CHERRY GLEN DR
Address 2: 1916 CHERRY GLEN DRIVE
City: La Grange
State: Kentucky
ZIP Code: 40031-6967
Phone: (954) 940-8205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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