NPI 1194258061

Shantae Monique Shaw

Practitioner Community Health Worker South Hadley, MA

Practice location

Address: 258 Old Lyman Rd, South Hadley, MA 01075-2653
Phone: (413) 896-9094
Mailing address: E25 Mill Pond Rd, Broad Brook, CT 06016-9107

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Massachusetts →

Registry record

NPI: 1194258061
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Apr 2017
Record last updated: 7 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.