Individual provider · Type 1 NPI

Taryn Blaine Shaw, MSN, APRN, PNP-PC

Pediatric Nurse Practitioner · Orangeburg, SC

NPI number 1457077125 Active

Practice location

1995 Saint Matthews Rd
Orangeburg, SC 29118-2405

Fax (803) 928-5505

Mailing address

2214 Old Cherokee Rd
Lexington, SC 29072-9725

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X257284 (TN)
Pediatric Nurse Practitioner Primary 363LP0200X32800 (TN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1457077125

Taryn Blaine Shaw, MSN, APRN, PNP-PC's National Provider Identifier is 1457077125, issued on Oct 14, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Orangeburg, SC. The record was last updated on Jun 7, 2023.