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
Phone: (205) 759-0407
Fax: (205) 759-0845
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487675146 | NPPES |
| Other | P00104410 | R/R GROUP |
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