Individual provider · Type 1 NPI

Ellen A. Shaw, PNP

Pediatric Nurse Practitioner · New York, NY

NPI number 1497792667 Active

Practice location

3959 Broadway, Columbia Unversity Department Pediatric
New York, NY 10032-1559

Fax (212) 544-1974

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF3810081 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1497792667

Ellen A. Shaw, PNP's National Provider Identifier is 1497792667, issued on May 31, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Jul 21, 2022.