IndividualActive
Kelsey Shaw
NPI 1831049691 · Emergency Registered Nurse · Bangor, ME
Provider details
- NPI number
- 1831049691
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN81004 (ME)
Specialties & taxonomies
Nursing Service Providers
Practice location
489 State St
Bangor, ME 04401-6616
Phone: (207) 973-7304
Approximate (ZIP-level) locationGet directions
Mailing address
489 State St
Bangor, ME 04401-6616
Registry dates
- Enumerated
- 2026-02-02
- Last updated
- 2026-02-02
- Certified
- 2026-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.