Individual provider · Type 1 NPI

Abigail Park Lee Shaw, PA-C

Physician Assistant · Vienna, VA

NPI number 1770213670 Active

Practice location

8301 Old Courthouse Rd
Vienna, VA 22182-3804

Fax (703) 442-0337

Mailing address

801 York St
Manitowoc, WI 54220-4630

Other practice locations

  • 1140 Connecticut Ave NW Ste 675, Washington, DC 20036-4022 · (202) 737-6800
  • 3700 Joseph Siewick Dr, Fairfax, VA 22033-1744 · (703) 648-2488

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0110008855 (VA)

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…

5 other providers at this address

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About NPI 1770213670

Abigail Park Lee Shaw, PA-C's National Provider Identifier is 1770213670, issued on Jun 14, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Vienna, VA. The record was last updated on Apr 17, 2026.