Rebecca Anne Shaw
Nurse Practitioner - Psychiatric/Mental Health
18555 N 79th Ave Ste D107
Glendale
, Arizona 85308-6040
Rebecca Anne Shaw
Nurse Practitioner - Psychiatric/Mental Health
18555 N 79th Ave Ste D107
Glendale
, Arizona 85308-6040
(602) 296-0404
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Rebecca Anne Shaw
- 4531 N 16th St Ste 114
- Phoenix, AZ
- Zip : 85016-5344
- Fax : (602) 296-0404
- Phone : (602) 266-8700
Second Address
- Rebecca Anne Shaw
- 18555 N 79th Ave Ste D107
- Glendale, AZ
- Zip : 85308-6040
- Fax : (623) 777-3478
- Phone : (623) 777-3477
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 262350 | AZ |
National Provider Identifier
| NPI | 1003405739 |
|---|---|
| Provider Name | Rebecca Anne Shaw |
| First Address | Phoenix, AZ 85016-5344 |
| Second Address | Glendale, AZ 85308-6040 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/01/2021 |
| Last Update Date | 02/12/2021 |
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.