Latasha Shaw, APRN
Nurse Practitioner, Family in Greenwich, CT. Individual provider (NPI-1).
NPI number1841069325
StatusActive
Last updated in NPPESDec 27, 2023
Details
- NPI
- 1841069325
- Entity type
- Individual (NPI-1)
- Name
- Latasha Shaw
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 27, 2023
- Certification date
- Dec 18, 2023
- Last updated
- Dec 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 12430 | CT | Yes |
Practice location
3 Riversville RdGreenwich, CT 06831-3627
Phone 203-258-4582
Mailing address
3 Riversville RdGreenwich, CT 06831-3627
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