National Provider Identifier
Carol Williams Shaw
Carol Williams Shaw is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 273-3316.
Profile Overview
- NPI
- 1285952838
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- May 06, 2010
- Last Updated
- December 13, 2023
Practice Location
- 601 Elmwood Ave
- Box 704
- Rochester, NY 14642-0001
Phone: (585) 273-3316
Mailing Address
- 601 Elmwood Avenue Box 704
- Rochester, NY 14642-0001
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Endpoints
- clustig5817@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1285952838
- Entity Type
- Individual
- Last Name
- Shaw
- First Name
- Carol
- Middle Name
- Williams
- Name Prefix
- Mrs.
- Provider Other Last Name
- Lustig
- Provider Other First Name
- Carol
- Provider Other Middle Name
- Williams
- Provider Other Credential Text
- NP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 601 Elmwood Avenue Box 704
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Practice Street Address
- 601 Elmwood Ave
- Practice Address Line 2
- Box 704
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 273-3316
- Enumeration Date
- May 06, 2010
- Last Updated
- December 13, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 13, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)