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NPI Code Detail

MEDICARE: PATRICE MILLER SHAW DNP, APRN, FNP-C

MEDICARE:   PATRICE MILLER SHAW  DNP, APRN, FNP-C
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
1363LF0000XFamily Nurse PractitionerAP128856TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841669819
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICE MILLER SHAW DNP, APRN, FNP-C
Provider Business Mailing Address
First Line : 10021 MAIN ST STE B3
Second Line :
City : HOUSTON
State : TX
Zip : 77025-5254
Country : US
Telephone Number : 832-834-3800
Fax Number : 281-351-2035
Provider Business Practice Location Address
First Line : 10021 MAIN ST STE B3
Second Line :
City : HOUSTON
State : TX
Zip : 77025-5254
Country : US
Telephone Number : 832-834-3800
Fax Number : 713-748-4444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2015
Last Update Date : 07/26/2024

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Directions to “ PATRICE MILLER SHAW DNP, APRN, FNP-C” Practice Location

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