Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALICE CATHERINE SHAW, FNP
Active Sole ProprietorALICE CATHERINE SHAW, FNP is a Family Nurse Practitioner healthcare provider located in SOUTH BEND, Indiana. NPI 1063020279 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · SOUTH BEND, IN
Registration Details
- NPI Number
- 1063020279
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 14, 2020 (6.0705632050463 yrs)
- Last Updated
- Feb 26, 2026
- Licenses
-
58326 (WY)71010179A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4440 N PORTAGE AVESOUTH BEND, IN, 466289570Browse IN providers · Browse ZIP 46628
- Phone
- 5742046200
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| SHARON K KLINGERMAN | N.P. | 1184629891 |
| MRS. MARY JO MOREY | FNP-BC | 1972500874 |
| MS. REGINA R. JASIEWICZ | FNP | 1033119904 |
| GAIL S LUKASIEWICZ | NP | 1104816479 |
| JENNIFER S BAUER | NP | 1346231412 |
| MR. DANA G. BRACKETT | N.P. | 1164499067 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.