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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACEY L SHAW, ARNP

Active

STACEY L SHAW, ARNP is a Family Nurse Practitioner healthcare provider located in PORT ORANGE, Florida. NPI 1366922882 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · PORT ORANGE, FL

Registration Details

NPI Number
1366922882
Provider Type
Individual
Gender
Female
NPI Issued
Aug 14, 2018 (7.98399527543 yrs)
Last Updated
Aug 14, 2018
License
2878322 (FL)

Practice Information

Address
1690 DUNLAWTON AVE STE 230
PORT ORANGE, FL, 321278980
Browse FL providers · Browse ZIP 32127
Phone
3862712273
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in PORT ORANGE, FL

Name Credential NPI
PRISCILLA CLARA MILLER ARNP 1326159500
PROF. TINA MARIE BURGESS ARNP 1962503045
ANN GAFFKA ARNP-C 1952457483
AMANDA PHILLIPS FNP-BC, PMHNP-BC 1689813305
KAYLA ROSE RITZEL FNP 1619100187
MS. GRACE PEDERSEN ARNP 1528385176
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.