Individual provider · Type 1 NPI
Happy Star Shaw, FNP
Family Nurse Practitioner · Round Mountain, CA
NPI number
1376149864
Active
Practice location
29632 Hwy 299 E
Round Mountain, CA 96084
Fax (530) 337-6655
Mailing address
PO Box 228
Round Mountain, CA 96084-0228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95016055 (CA) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Round Mountain
About NPI 1376149864
Happy Star Shaw, FNP's National Provider Identifier is 1376149864, issued on Dec 9, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Round Mountain, CA. The record was last updated on Dec 9, 2020.