Individual provider · Type 1 NPI

Samuel Teagan Shaw, FNP-C

Family Nurse Practitioner · Twin Falls, ID

NPI number 1073248787 Active

About NPI 1073248787

Samuel Teagan Shaw, FNP-C's National Provider Identifier is 1073248787, issued on Jul 18, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Twin Falls, ID. The record was last updated on Jul 19, 2022.