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ANNETTA M SHAW RN,BSN,CRNFA
NPI 1770639635
Physician Assistant - Surgical in Bemidji, MN

Active since January 25, 2007
3807 GREENLEAF AVE NW, BEMIDJI, MN 56601(218) 751-9746(218) 759-0620 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Annetta M Shaw Rn,bsn,crnfa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNETTA M SHAW RN,BSN,CRNFA (NPI 1770639635) is an individual surgical provider in Bemidji, Minnesota and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1770639635
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameANNETTA M SHAWCredential: RN,BSN,CRNFA
Location Address3807 GREENLEAF AVE NWBemidji, MN 56601-5817
Mailing Address3807 Greenleaf Ave NwBemidji, MN 56601-5817 · (218) 751-9746 · Fax (218) 759-0620
Phone(218) 751-9746
Fax(218) 759-0620
Sole ProprietorNo
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770639635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
3807 GREENLEAF AVE NW, Bemidji, MN 56601
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Other Identifiers 2

Other855911029535MN · Prefferedone
Other85G67SHMN · Blue Cross Blue Shield

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON J CARON MD PA
Specialist
3807 GREENLEAF AVE NW
BEMIDJI, MN 56601
Beltrami County (218) 751-9746
DR. TERRANCE L JOHNSON M.D.
Orthopaedic Surgery
3807 GREENLEAF AVE NW
BEMIDJI, MN 56601
Beltrami County (218) 751-9746
LINDA MT HELGESON NP
Nurse Practitioner
3807 GREENLEAF AVE NW
BEMIDJI, MN 56601
Beltrami County (218) 751-9746
THOMAS MILLER ORTHOPEDIC SURGERY PA
Specialist
3807 GREENLEAF AVE NW
BEMIDJI, MN 56601
Beltrami County (218) 751-9746
SANFORD CLINIC NORTH
Clinic/Center
3807 GREENLEAF AVE NW
BEMIDJI, MN 56601
Beltrami County (218) 751-9746
DR. THOMAS E MILLER M.D.
Specialist
3807 GREENLEAF AVE NW
BEMIDJI, MN 56601
Beltrami County (218) 781-9746
LAKE REGION BONE & JOINT SURGEONS
Specialist
3807 GREENLEAF AVE NW
BEMIDJI, MN 56601
Beltrami County (218) 751-9746
DARREN D PAGNAC RN FIRST ASSIST
Physician Assistant (Surgical)
3807 GREENLEAF AVE NW
BEMIDJI, MN 56601
Beltrami County (218) 751-9746

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annetta Shaw's NPI number?

The NPI number for Annetta Shaw is 1770639635. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Annetta Shaw located?

Annetta Shaw practices at 3807 Greenleaf Ave NW, Bemidji, MN 56601. The listed phone number is (218) 751-9746.

What is Annetta Shaw's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Annetta Shaw was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.