Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROOKE ELIZABETH SHAW, PHARMD
DeactivatedBROOKE ELIZABETH SHAW, PHARMD is a Student (Health Education/Training) healthcare provider located in GRAND FORKS AFB, North Dakota. NPI 1104704931 is deactivated in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · GRAND FORKS AFB, ND
This NPI has been deactivated.
The record was deactivated on October 19, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1104704931
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 21, 2025 (0.16164383561644 yrs)
- Last Updated
- Nov 20, 2025
- Deactivated
- Oct 19, 2025
Practice Information
- Address
-
1839 I STGRAND FORKS AFB, ND, 582056605Browse ND providers · Browse ZIP 58205
- Phone
- 7017475382
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in GRAND FORKS AFB, ND
| Name | Credential | NPI |
|---|---|---|
| MATTHEW STEPHEN HALL | MD | 1821265596 |
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.