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

Timothy L Shaw, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1124092002

Timothy L Shaw, CRNA is a Certified Registered Nurse Anesthetist in Eagle River, Alaska. Practices as a sole proprietor. Licensed in Alaska.

Licensed in
AK
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

11055 Owhat Cir
Eagle River, AK 99577-8226
Phone: (907) 227-9592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 26580 (AK)

Record details

NPI number1124092002
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedFebruary 15, 2006
Last updated in NPPESMay 25, 2010
Mailing address11055 Owhat Cir, Eagle River, AK 99577-8226

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