Provider Demographics
NPI:1578662953
Name:SHAW-HART, NANCY ELIZABETH (AUD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:ELIZABETH
Last Name:SHAW-HART
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MISS
Other - First Name:NANCY
Other - Middle Name:ELIZABETH
Other - Last Name:SHAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4000 OLD COURT RD
Mailing Address - Street 2:STE 202
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-2894
Mailing Address - Country:US
Mailing Address - Phone:410-580-1222
Mailing Address - Fax:410-580-9114
Practice Address - Street 1:4000 OLD COURT RD
Practice Address - Street 2:STE 202
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-2894
Practice Address - Country:US
Practice Address - Phone:410-580-1222
Practice Address - Fax:410-580-9114
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01099237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter