Individual provider · Type 1 NPI

Fonda Kay Shaw, FNP/CNM

Nurse Practitioner · Marysville, CA

NPI number 1114038320 Active

Practice location

5730 Packard Ave Ste 500
Marysville, CA 95901-7119

Call (530) 749-3242 Map

Fax (530) 767-1020

Mailing address

1114 Yuba St Ste 220
Marysville, CA 95901-4838

Specialties and licenses

TaxonomyCodeLicense
Advanced Practice Midwife 367A00000X1854 (CA)
Nurse Practitioner Primary 363L00000XNP12989 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1114038320

Fonda Kay Shaw, FNP/CNM's National Provider Identifier is 1114038320, issued on Aug 31, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Marysville, CA. The record was last updated on Mar 25, 2025.