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ANNETTA M SHAW, RN,BSN,CRNFA – NPI #1770639635
Surgical

NPI Profile for ANNETTA M SHAW in BEMIDJI, MN.

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Contact Information

ANNETTA M SHAW, RN,BSN,CRNFA
3807 GREENLEAF AVE NW
BEMIDJI, MN  56601-5817
 Phone: 218-751-9746
 Fax: 218-759-0620
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Surgical

 363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ANNETTA M SHAW · (Female)

NPI Number 1770639635
Status Active
Credentials RN,BSN,CRNFA
Entity Individual
Enumeration date 01/25/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MN Other 85G67SH BLUE CROSS BLUE SHIELD
  • MN Other 855911029535 PREFFEREDONE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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