Martha Jean Shaw Valid NPI

Individual provider · Licensed Practical Nurse · Taylor, MS

NPI

1003967217

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

164W00000X (MS)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-01-15

Last updated

2007-07-09