Individual provider · Type 1 NPI
Rebecca Anne Shaw, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Mesa, AZ
NPI number
1003405739
Active
Practice location
1140 E Greenway St Ste 1
Mesa, AZ 85203-4359
Fax (480) 805-2184
Mailing address
1131 S Pheasant Dr
Gilbert, AZ 85296-3062
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 262350 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1003405739
Rebecca Anne Shaw, PMHNP-BC's National Provider Identifier is 1003405739, issued on Jan 17, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mesa, AZ. The record was last updated on Dec 10, 2025.