Individual provider · Type 1 NPI

Theresa Shaw, NP

Family Nurse Practitioner · Rochester, NY

NPI number 1609520055 Active

Practice location

1445 Portland Ave Ste 302
Rochester, NY 14621-3008

Call (585) 544-1120 Map

Fax (585) 544-7517

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X349389 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1609520055

Theresa Shaw, NP's National Provider Identifier is 1609520055, issued on Feb 4, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rochester, NY. The record was last updated on Jul 26, 2022.