Individual provider · Type 1 NPI
Judy Kelly Shaw, MS, ANP-C
Adult Health Nurse Practitioner · Albany, NY
NPI number
1720172422
Active
Practice location
113 Holland Ave, Mc 111D, Vamc
Albany, NY 12208
Fax (518) 626-6564
Mailing address
167 Windy Hill Rd
Greenwich, NY 12834
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F331353-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1720172422
Judy Kelly Shaw, MS, ANP-C's National Provider Identifier is 1720172422, issued on Oct 3, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Albany, NY. The record was last updated on Jul 8, 2007.