ANNETTA M SHAW (RN,BSN,CRNFA) – Surgical Physician Assistant, NPI 1770639635

ANNETTA M SHAW (RN,BSN,CRNFA) is a healthcare provider. based in Bemidji, Minnesota. specializing in Surgical Physician Assistant. They hold the professional credentials RN,BSN,CRNFA. The NPI Number for ANNETTA M SHAW (RN,BSN,CRNFA) is 1770639635

Main info

Female
Name
ANNETTA M SHAW (RN,BSN,CRNFA)
NPI
1770639635
Phone
(218) 751-9746
Address
3807 GREENLEAF AVE NW
Enumeration Date
25 January 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for ANNETTA M SHAW (RN,BSN,CRNFA)

  • 3807, Greenleaf Avenue Northwest, Bemidji, Beltrami County, Minnesota, 56601, United States

    BEMIDJI, MN 566015817

    Phone: (218) 751-9746

    Fax: (218) 759-0620

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56601)

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Reviews

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Frequently asked questions

What number should I use to identify ANNETTA M SHAW (RN,BSN,CRNFA) for billing?
Administrative and clinical systems typically use NPI 1770639635 for ANNETTA M SHAW (RN,BSN,CRNFA).
Is ANNETTA M SHAW (RN,BSN,CRNFA) currently accepting referrals based on NPI status?
Registry metadata lists ANNETTA M SHAW (RN,BSN,CRNFA) as active.
What type of care does ANNETTA M SHAW (RN,BSN,CRNFA) provide?
ANNETTA M SHAW (RN,BSN,CRNFA)'s profile centers on Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is ANNETTA M SHAW (RN,BSN,CRNFA) tied to Bemidji, Minnesota?
If you are local to Bemidji, Minnesota, ANNETTA M SHAW (RN,BSN,CRNFA) may be relevant to your search.
Who maintains ANNETTA M SHAW (RN,BSN,CRNFA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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