Individual provider · Type 1 NPI
Eva Jane Shaw, CPNP
Pediatric Nurse Practitioner · Van Nuys, CA
NPI number
1093030967
Active
Practice location
6618 Van Nuys Blvd
Van Nuys, CA 91405-4617
Fax (818) 908-9914
Mailing address
15477 Ventura Blvd, Third Floor
Sherman Oaks, CA 91403-3006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 311173 (CA) |
| Pediatric Nurse Practitioner | 363LP0200X | NP 8710 (CA) |
Pediatric Nurse Practitioner: Definition to come...
4 other providers at this address
Other pediatric nurse practitioner providers in Van Nuys
About NPI 1093030967
Eva Jane Shaw, CPNP's National Provider Identifier is 1093030967, issued on Apr 2, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Van Nuys, CA. The record was last updated on Apr 2, 2010.