Female

Annetta M. Shaw RN,BSN,CRNFA

Surgical Physician Assistant in Bemidji, MN(View on Map)

Full Name

Annetta M Shaw RN,BSN,CRNFA

NPI Number

1770639635

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/25/2007

Specialties

(Taxonomies)

Code

363AS0400X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

3807 GREENLEAF AVE NW
3807 GREENLEAF AVE NW

City

Bemidji
Bemidji

State

MN
MN

Postal Code

56601-5817
56601-5817

Country

US
US

Telephone Number

(218) 751-9746
(218) 751-9746

Identifiers

Identifier

85G67SH
855911029535

Identifier State

MN
MN

Identifier Issuer

BLUE CROSS BLUE SHIELD
PREFFEREDONE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

Other Surgical Physician Assistants in Bemidji, Minnesota:

Male or Other

Darren Pagnac RN FIRST ASSIST

Bemidji, MN

Specialty: Surgical Physician Assistant (Primary)

Female

Lacey Langerak PAC

Bemidji, MN

Specialties: Surgical Physician Assistant (Primary)Physician Assistant

Male or Other

Bradley Smith PA-C

Bemidji, MN

Specialties: Physician Assistant (Primary)Medical Physician AssistantSurgical Physician Assistant

Male or Other

Lee Potratz PA-C, ATC

Bemidji, MN

Specialties: Surgical Physician Assistant (Primary)Athletic TrainerPhysician Assistant