NPI 1053797936

Shannon Christian Shaw, FNP

Practitioner Family Nurse Practitioner Baxter, MN

Practice location

Address: 13060 Isle Dr, Baxter, MN 56425-8331
Phone: (512) 981-8445
Mailing address: 523 N 3rd St, Brainerd, MN 56401-3054

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 2134165 (MN)

Other Nurse Practitioner providers in Minnesota →

Registry record

NPI: 1053797936
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Aug 2015
Record last updated: 15 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.