| Stacey Shaw, NP | |
|
6705 Rangewood Dr, Colorado Springs, CO 80918-7300 | |
| (719) 599-7331 | |
| (719) 390-1333 |
| Full Name | Stacey Shaw |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 6705 Rangewood Dr, Colorado Springs, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407059439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 177117 (Colorado) | Primary |
| Entity Name | Montclair Breast Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053367334 PECOS PAC ID: 6608881602 Enrollment ID: O20081104000210 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Shaw, NP 6705 Rangewood Dr, Colorado Springs, CO 80918-7300 Ph: (719) 599-7331 | Stacey Shaw, NP 6705 Rangewood Dr, Colorado Springs, CO 80918-7300 Ph: (719) 599-7331 |
Dr. Beth Rettew Hamstra, RN, PHD Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4775 Jamestown Dr, Colorado Springs, CO 80918 Phone: 719-502-9610 Fax: 719-574-3776 | |
Mrs. Amy Lynn Rickman, DNP, CPNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 2828 International Cir Ste 140, Colorado Springs, CO 80910 Phone: 913-645-8200 | |
Tiffany Ogunyemi, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 959 Quail Lake Cir, Apt 202, Colorado Springs, CO 80906 Phone: 931-215-8314 | |
Morgan Kathleen Tempel, BSN IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2680 Farrier Ct, Colorado Springs, CO 80922 Phone: 719-419-6834 | |
Jill Law, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 301 S Union Blvd, Colorado Springs, CO 80910 Phone: 719-575-8575 Fax: 719-578-3234 | |
Miss Gillian M Lester, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1785 Seclusion Pt Apt F, Colorado Springs, CO 80918 Phone: 719-434-8891 | |
Mr. David Wayne Mcphail, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 301 S Union Blvd, Colorado Springs, CO 80910 Phone: 719-578-3235 |