STACEY L SHAW ARNP NPI 1366922882

NPI Information

Stacey L Shaw, ARNP is a family nurse practitioner in Port Orange, FL with 6 years of experience. Stacey L Shaw, ARNP NPI is 1366922882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1690 DUNLAWTON AVE STE 230
PORT ORANGE, FL
ZIP 32127-980
Phone: (386) 271-2273

The NPI 1366922882 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/14/2018 and was last updated on 8/14/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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