Shaw, Marsha Diane

Shaw, Marsha Diane is an individual health care provider with primary practice located at 200 University Blvd , Tuscaloosa AL 35401-1250. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shaw, Marsha Diane can be contacted via phone (205) 759-0407.

Contact Information

Primary practice address
200 University Blvd Tuscaloosa AL 35401-1250
Fax: (205) 759-0845
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1-020751 Alabama

Profile Details

NPI number 1487675146
LBN Legal business name Shaw, Marsha Diane
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 8th, 2007 - about 19 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 1487675146 NPPES
Other P00104410 R/R GROUP

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