Individual provider · Type 1 NPI

Carly Shaw, APRN

Nurse Practitioner · Lees Summit, MO

NPI number 1689229809 Active

Practice location

4880 NE Goodview Cir
Lees Summit, MO 64064-1996

Fax (816) 875-2598

Mailing address

3340 NE Ralph Powell Rd Ste B
Lees Summit, MO 64064-2368

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2019026180 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1689229809

Carly Shaw, APRN's National Provider Identifier is 1689229809, issued on Aug 5, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lees Summit, MO. The record was last updated on Aug 5, 2019.