Sarah Deanne Shaw, APRN-CNP | |
1870 Blackland Rd, Oil Trough, AR 72564-9750 | |
(870) 503-2504 | |
Not Available |
Full Name | Sarah Deanne Shaw |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1870 Blackland Rd, Oil Trough, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578372660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 231036 (Arkansas) | Primary |
Entity Name | White River Health System, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568442127 PECOS PAC ID: 0143134270 Enrollment ID: O20060221000012 |
Entity Name | White River Health System, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457396616 PECOS PAC ID: 0143134270 Enrollment ID: O20060830000031 |
Entity Name | White River Health System, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871609743 PECOS PAC ID: 0143134270 Enrollment ID: O20070223000663 |
Entity Name | White River Health System, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134298268 PECOS PAC ID: 0143134270 Enrollment ID: O20070228000056 |
Entity Name | White River Health System, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477523348 PECOS PAC ID: 0143134270 Enrollment ID: O20110510000339 |
Entity Name | White River Health System, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962482430 PECOS PAC ID: 0143134270 Enrollment ID: O20110614000786 |
Entity Name | White River Health System, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578543070 PECOS PAC ID: 0143134270 Enrollment ID: O20120725000268 |
Entity Name | White River Health System, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144609751 PECOS PAC ID: 0143134270 Enrollment ID: O20151211000254 |
Entity Name | White River Health System, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013451186 PECOS PAC ID: 0143134270 Enrollment ID: O20170125002953 |
Entity Name | White River Health System, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154770436 PECOS PAC ID: 0143134270 Enrollment ID: O20170216001323 |
Entity Name | White River Health System, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104642354 PECOS PAC ID: 0143134270 Enrollment ID: O20241224000418 |
Mailing Address | Practice Location Address |
---|---|
Sarah Deanne Shaw, APRN-CNP 1870 Blackland Rd, Oil Trough, AR 72564-9750 Ph: (870) 503-2504 | Sarah Deanne Shaw, APRN-CNP 1870 Blackland Rd, Oil Trough, AR 72564-9750 Ph: (870) 503-2504 |