Healthcare Provider Details

I. General information

NPI: 1407776545
Provider Name (Legal Business Name): SARAH SHAW FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4745 OGLETOWN STANTON RD STE 134
NEWARK DE
19713-1342
US

IV. Provider business mailing address

651 VALLEY RD
HOCKESSIN DE
19707-7700
US

V. Phone/Fax

Practice location:
  • Phone: 302-738-5300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG0013989
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: