Search › Indiana › 363LF0000X
Alice Shaw, FNP
NPI 1063020279 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4440 N Portage Ave
South Bend, IN 46628 - Phone
- (574) 204-6200
- Clinicians at this address
- 5
Additional practice sites
- 1401 W 5th St, Sheridan, WY
- 1470 Sugarland Dr Ste 1, Sheridan, WY
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- WY, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana