Individual provider · Type 1 NPI

Brenda J. Shaw, PA

Physician Assistant · Idaho Falls, ID

NPI number 1679642037 Active

Practice location

1660 John Adams Pkwy
Idaho Falls, ID 83401-4360

Call (208) 523-8844 Map

Fax (208) 529-8684

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA587 (ID)

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 1679642037

Brenda J. Shaw, PA's National Provider Identifier is 1679642037, issued on Nov 7, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Dec 15, 2009.