Individual provider · Type 1 NPI

Marissa Shaw

Student in an Organized Health Care Education/Training Program · Austin, TX

NPI number 1467307637 Active

Practice location

5217 Old Spicewood Springs Rd Apt 2304
Austin, TX 78731-1034

Call (254) 717-5457 Map

Fax (254) 717-5457

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1467307637

Marissa Shaw's National Provider Identifier is 1467307637, issued on Mar 3, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Austin, TX. The record was last updated on Mar 3, 2026.