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Andrea Shaw
NPI 1174286736 · on the registry since 2021 · sole proprietor
Practice
- Address
- 900 W Race St
Ridgway, IL 62979 - Phone
- (618) 272-8831
- Fax
- (618) 272-7118
- Organisation at this address
- Gallatin Manor Llc
Ridgway Rehabilitation And Nursing Center, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-20
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 Illinois