Individual provider · Type 1 NPI
Amy Scott Shaw, PA
Medical Physician Assistant · Cheyenne, WY
NPI number
1942603097
Active
Practice location
6108 Shannon Ave
Cheyenne, WY 82009-3537
Fax (307) 263-7546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PT615 (WY) |
| Medical Physician Assistant Primary | 363AM0700X | PA615 (WY) |
Medical Physician Assistant: Definition to come...
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About NPI 1942603097
Amy Scott Shaw, PA's National Provider Identifier is 1942603097, issued on Oct 3, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Cheyenne, WY. The record was last updated on Oct 25, 2024.