Kristen Shaw, AGACNP | |
1301 Punchbowl St, Honolulu, HI 96813-2402 | |
(808) 691-4144 | |
Not Available |
Full Name | Kristen Shaw |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 1301 Punchbowl St, Honolulu, Hawaii |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326463332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | APRN-1707 (Hawaii) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Queens Medical Center | Honolulu, HI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Queens University Medical Group | 2466831557 | 545 |
The Queens Medical Center | 3476454067 | 176 |
Entity Name | The Queens Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487693586 PECOS PAC ID: 3476454067 Enrollment ID: O20040116000366 |
Entity Name | Queens University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891441382 PECOS PAC ID: 2466831557 Enrollment ID: O20220621000534 |
Mailing Address | Practice Location Address |
---|---|
Kristen Shaw, AGACNP 1301 Punchbowl St, Honolulu, HI 96813-2402 Ph: () - | Kristen Shaw, AGACNP 1301 Punchbowl St, Honolulu, HI 96813-2402 Ph: (808) 691-4144 |
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