Individual provider · Type 1 NPI

Annetta M. Shaw, RN, BSN, CRNFA

Surgical Physician Assistant · Bemidji, MN

NPI number 1770639635 Active

About NPI 1770639635

Annetta M. Shaw, RN, BSN, CRNFA's National Provider Identifier is 1770639635, issued on Jan 25, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bemidji, MN. The record was last updated on Jul 8, 2007.