National Provider Identifier
Theresa Shaw, NP
Theresa Shaw, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 544-1120.
Profile Overview
- NPI
- 1609520055
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- February 04, 2022
- Last Updated
- July 26, 2022
Practice Location
- 1445 Portland Ave Ste 302
- Rochester, NY 14621-3008
Phone: (585) 544-1120
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1609520055
- Entity Type
- Individual
- Last Name
- Shaw
- First Name
- Theresa
- Credential
- NP
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 544-1120
- Mailing Fax
- (585) 544-7517
- Practice Street Address
- 1445 Portland Ave Ste 302
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3008
- Practice Country
- US
- Practice Phone
- (585) 544-1120
- Practice Fax
- (585) 544-7517
- Enumeration Date
- February 04, 2022
- Last Updated
- July 26, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 26, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)