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)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
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