Shaw, Heidi Lynn

Shaw, Heidi Lynn is an sole proprietor health care provider with primary practice located at 2025 Murrell Road , Rockledge FL 32955. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shaw, Heidi Lynn can be contacted via phone (321) 735-0245.

Contact Information

Primary practice address
2025 Murrell Road Rockledge FL 32955
Fax: (321) 633-4449
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN3277012 Florida

Profile Details

NPI number 1932490505
LBN Legal business name Shaw, Heidi Lynn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2011
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932490505 NPPES
Florida Other ARNP3277012 FL NP LICENSE
Florida Other RN3277012 FL NP LICENSE

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