Individual provider · Type 1 NPI

Amanda Elizabeth Shaw

Family Nurse Practitioner · Dallas, GA

NPI number 1104216639 Active

Practice location

495 Charles Hardy Pkwy
Dallas, GA 30157-5723

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN210233 (GA)

Family Nurse Practitioner: Definition to come...

22 other providers at this address

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About NPI 1104216639

Amanda Elizabeth Shaw's National Provider Identifier is 1104216639, issued on Feb 4, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, GA. The record was last updated on Feb 9, 2020.