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NPI Code Detail

MEDICARE: JULIE KAY SHAW ARNP

MEDICARE: JULIE KAY SHAW ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerH092499IA

General Provider Information

NPI Number : 1730165473
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE KAY SHAW ARNP
Provider Business Mailing Address
First Line : PO BOX 3026
Second Line : 1026 A AVE NE
City : CEDAR RAPIDS
State : IA
Zip : 52406-3026
Country : US
Telephone Number : 319-369-7211
Fax Number : 319-861-6768
Provider Business Practice Location Address
First Line : 1026 A AVE NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-5036
Country : US
Telephone Number : 319-369-7211
Fax Number : 319-861-6768
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2005
Last Update Date : 12/15/2025

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