Individual provider · Type 1 NPI

Debra Lynn Shaw, NP

Family Nurse Practitioner · Edina, MN

NPI number 1154494029 Active

Practice location

3400 West 66th Street, Suite 290
Edina, MN 55435

Call (952) 914-1882 Map

Fax (952) 914-1727

Mailing address

10973 233rd Ave NW
Elk River, MN 55330

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR144120-2 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1154494029

Debra Lynn Shaw, NP's National Provider Identifier is 1154494029, issued on Nov 16, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Edina, MN. The record was last updated on Mar 11, 2021.