Individual provider · Type 1 NPI

Emily Noelle Shaw, PA-C

Physician Assistant · Grand Rapids, MI

NPI number 1124169222 Active

Practice location

35 Michigan St NE Ste 3003
Grand Rapids, MI 49503-2528

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085002177 (IL)
Physician Assistant Primary 363A00000X5601009223 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124169222

Emily Noelle Shaw, PA-C's National Provider Identifier is 1124169222, issued on Feb 9, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 17, 2021.