Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annetta M Shaw, RN, BSN, CRNFA

Individual provider Surgical Physician Assistant · NPI 1770639635

Annetta M Shaw, RN, BSN, CRNFA is a Surgical Physician Assistant in Bemidji, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
BSN — Bachelor of Science in Nursing
A four-year nursing degree.

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Practice location Address checks out

3807 Greenleaf Ave NW
Bemidji, MN 56601-5817
Phone: (218) 751-9746
Fax: (218) 759-0620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X (MN)

Record details

NPI number1770639635
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , BSN , CRNFA
Sole proprietorNo
NPI enumeratedJanuary 25, 2007
Last updated in NPPESJuly 8, 2007

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