Individual provider · Type 1 NPI

Lauren Bass Shaw, APRN

Nurse Practitioner · Tampa, FL

NPI number 1124601364 Active

Practice location

12902 Usf Magnolia Dr
Tampa, FL 33612-9416

Fax (813) 449-6506

Mailing address

PO Box 198441
Atlanta, GA 30384-8441

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAPRN11010906 (FL)
Nurse Practitioner Primary 363L00000XAPRN11010906 (FL)

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 1124601364

Lauren Bass Shaw, APRN's National Provider Identifier is 1124601364, issued on May 5, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tampa, FL. The record was last updated on Sep 1, 2026.