ALICE CATHERINE SHAW

SOUTH BEND, IN
NPI1063020279
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71010179A)
Enumeration Date2020-07-14
Last Update Date2023-05-24
Business Address
ALICE CATHERINE SHAW FNP
4440 N PORTAGE AVE
SOUTH BEND, IN 46628-9570
Phone number: 574-204-6200
Mailing Address
ALICE CATHERINE SHAW FNP
4440 N PORTAGE AVE
SOUTH BEND, IN 46628
Phone number:
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