| Edalyn Shaw, | |
| 
					1475 Nashville Rd, Franklin, KY 42134-6961  | |
| (270) 813-1111 | |
| Not Available | 
| Full Name | Edalyn Shaw | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1475 Nashville Rd, Franklin, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1134924459 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4035097 (Kentucky) | Primary | 
| Entity Name | Brock Medical, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023379815 PECOS PAC ID: 9830354638 Enrollment ID: O20120628000567  | 
| Entity Name | Fast Pace Kentucky, Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457716706 PECOS PAC ID: 0143525998 Enrollment ID: O20160216002913  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Edalyn Shaw, Po Box 306414, Nashville, TN 37230-6414 Ph: () -  | Edalyn Shaw, 1475 Nashville Rd, Franklin, KY 42134-6961 Ph: (270) 813-1111  | 
Dana A. Osborne, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 Memorial Dr, Franklin, KY 42134 Phone: 270-586-9533 Fax: 270-586-0123  | |
Mrs. Deborah Settle, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2320 Bowling Green Rd, Franklin, KY 42134 Phone: 270-586-2264  | |
Andrea M Broughton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1112 S Main St Ste 7, Franklin, KY 42134 Phone: 270-745-7246 Fax: 270-282-2027  | |
Keileigh Gregory, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1112 S Main St, Franklin, KY 42134 Phone: 270-598-9595 Fax: 270-598-9590  | |
Dzenana Kadric, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1112 S Main St, Franklin, KY 42134 Phone: 270-482-0101  | |
Jennifer L Delk, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1112 S Main St, Franklin, KY 42134 Phone: 270-586-1969 Fax: 270-586-1914  |