Andrea Lyn Shaw
Andrea Lyn Shaw is a Licensed Practical Nurse in Ridgway, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
900 W Race StRidgway, IL 62979-1150
Phone: (618) 272-8831
Fax: (618) 272-7118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 043119608 (IL) |
|---|
Record details
| NPI number | 1174286736 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 20, 2021 |
| Last updated in NPPES | October 20, 2021 |
| Certification date | October 20, 2021 |
| Mailing address | 900 W Race St, Ridgway, IL 62979-1150 |