IndividualActive
Bernice Shaw
NPI 1467314419 · Student in an Organized Health Care Education/Training Program · La Grange, KY
Provider details
- NPI number
- 1467314419
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Practice location
1916 Cherry Glen Dr
1916 Cherry Glen Drive
La Grange, KY 40031-6967
Phone: (954) 940-8205
Approximate (ZIP-level) locationGet directions
Mailing address
1916 Cherry Glen Dr
La Grange, KY 40031-6967
Registry dates
- Enumerated
- 2025-11-28
- Last updated
- 2025-11-28
- Certified
- 2025-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.