Individual provider · Type 1 NPI

Margaret Anne Shaw, RN, PNP-BC

Pediatric Nurse Practitioner · Tucker, GA

NPI number 1790904076 Active

Practice location

2007 Montreal Rd
Tucker, GA 30084-5253

Fax (770) 491-3164

Mailing address

371 Poplar Lane Way
Decatur, GA 30030-1636

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XNP059632 (GA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1790904076

Margaret Anne Shaw, RN, PNP-BC's National Provider Identifier is 1790904076, issued on Apr 24, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Tucker, GA. The record was last updated on Oct 13, 2025.