Shaw, Krista
Shaw, Krista is an sole proprietor health care provider with primary practice located at 47 High St. Suite 101, North Andover MA 01845. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Shaw, Krista can be contacted via phone (978) 685-2460.Contact Information
Primary practice address
47 High St. Suite 101
North Andover MA 01845
Phone: (978) 685-2460
Fax: (978) 685-2472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | RN2267266 | Massachusetts |
Profile Details
| NPI number | 1700346194 |
|---|---|
| LBN Legal business name | Shaw, Krista |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2019 |
| Last updated | Mar 20th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700346194 | NPPES |
| Massachusetts | Other | RN2267266 | STATE LICENSE - MA |
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