Individual provider · Type 1 NPI

Alicia C. Shaw, FNP

Family Nurse Practitioner · Moberly, MO

NPI number 1124563275 Active

Practice location

300 N Morley St Ste A-C
Moberly, MO 65270-2334

Call (660) 263-1225 Map

Fax (660) 263-1613

Mailing address

670 Mason Ridge Center Dr, Ste 300
St. Louis, MO 63141-8573

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XA153239 (IA)
Family Nurse Practitioner Primary 363LF0000X2016043696 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1124563275

Alicia C. Shaw, FNP's National Provider Identifier is 1124563275, issued on Dec 28, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Moberly, MO. The record was last updated on Feb 1, 2019.