NPI 1013724277 · live from the CMS NPI Registry
Loretta Shaw, RN
Registered Nurse, Psych/Mental Health, Adult in Fargo, ND. National Provider Identifier 1013724277, active.
NPI record
| NPI | 1013724277 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 2101 Elm St N, Fargo, ND 58102 |
| Practice phone | 701-239-3770 |
| Enumerated | December 11, 2024 |
| Last updated | December 11, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health | 163WP0808X | R35827 (ND) |
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | R35827 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.