IndividualActive
Anthony Shaw, AGACNP-BC
NPI 1013471309 · Acute Care Nurse Practitioner · Glendale, AZ
Provider details
- NPI number
- 1013471309
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- 221810 (AZ)
Mailing address
7190 W Fleetwood Ln
Glendale, AZ 85303-7606
Registry dates
- Enumerated
- 2019-01-30
- Last updated
- 2019-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.