Individual provider · Type 1 NPI
Jeff Shaw
Acute Care Nurse Practitioner · Hartford, CT
NPI number
1457970022
Active
Practice location
80 Seymour St
Hartford, CT 06102-8000
Mailing address
30 Pequonnock Cir
Stratford, CT 06614-2313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 153286 (CT) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 8927 (CT) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1457970022
Jeff Shaw's National Provider Identifier is 1457970022, issued on Apr 13, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Hartford, CT. The record was last updated on Sep 17, 2020.