Individual provider · Type 1 NPI
Bernice Shaw
Student in an Organized Health Care Education/Training Program · La Grange, KY
NPI number
1467314419
Active
Practice location
1916 Cherry Glen Dr, 1916 Cherry Glen Drive
La Grange, KY 40031-6967
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1467314419
Bernice Shaw's National Provider Identifier is 1467314419, issued on Nov 28, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in La Grange, KY. The record was last updated on Nov 28, 2025.