Individual provider · Type 1 NPI

Shannon Christian Shaw, FNP

Family Nurse Practitioner · Baxter, MN

NPI number 1053797936 Active

Practice location

13060 Isle Dr
Baxter, MN 56425-8331

Mailing address

523 N 3rd St
Brainerd, MN 56401-3054

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2134165 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1053797936

Shannon Christian Shaw, FNP's National Provider Identifier is 1053797936, issued on Aug 3, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Baxter, MN. The record was last updated on Jan 15, 2016.