| Mrs Happy Star Shaw, FNP | |
|
29632 Hwy 299 E, Round Mountain, CA 96084 | |
| (530) 337-6243 | |
| (530) 337-6655 |
| Full Name | Mrs Happy Star Shaw |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 29632 Hwy 299 E, Round Mountain, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376149864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95016055 (California) | Primary |
| Entity Name | Mountain Valleys Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356438261 PECOS PAC ID: 4284685538 Enrollment ID: O20050429000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Happy Star Shaw, FNP Po Box 228, Round Mountain, CA 96084-0228 Ph: (530) 337-6243 | Mrs Happy Star Shaw, FNP 29632 Hwy 299 E, Round Mountain, CA 96084 Ph: (530) 337-6243 |
Mr. Asa Mark Calkins, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29632 Highway 299 East, Round Mountain, CA 96084 Phone: 530-337-6243 Fax: 530-337-6655 | |
Shaelah Ellen Lewis, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29632 Highway 299 East, Round Mountain, CA 96084 Phone: 530-337-5762 | |
Ms. Darra A. Husome, FNP, CNS Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 29632 Highway 299 East, Round Mountain, CA 96084 Phone: 530-337-6243 |