Mrs. Debra Kay Shaw
Nurse Practitioner - Adult Health
1301 S 8th St
Richmond
, Indiana 47374-6901
Mrs. Debra Kay Shaw
Nurse Practitioner - Adult Health
1301 S 8th St
Richmond
, Indiana 47374-6901
(765) 939-3950
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Mrs. Debra Kay Shaw
- 1301 S 8th St
- Richmond, IN
- Zip : 47374-6901
- Fax : (765) 939-3950
- Phone : (765) 962-0713
Second Address
- Mrs. Debra Kay Shaw
- 1301 S 8th St
- Richmond, IN
- Zip : 47374-6901
- Fax : (765) 939-3950
- Phone : (765) 939-3947
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 71001346A | IN |
National Provider Identifier
| NPI | 1023146164 |
|---|---|
| Provider Name | Mrs. Debra Kay Shaw |
| First Address | Richmond, IN 47374-6901 |
| Second Address | Richmond, IN 47374-6901 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/03/2007 |
| Last Update Date | 15/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 28084221A | REGISTERED NURSE # (01) | IN |
| MS6244797 | DEA NUMBER (01) | |
| P80557 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.