Timothy L Shaw, CRNA
Nurse Anesthetist, Certified Registered in Eagle River, AK. Individual provider (NPI-1).
NPI number1124092002
StatusActive
Last updated in NPPESMay 25, 2010
Details
- NPI
- 1124092002
- Entity type
- Individual (NPI-1)
- Name
- Timothy L Shaw
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 15, 2006
- Last updated
- May 25, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 26580 | AK | Yes |
Practice location
11055 Owhat CirEagle River, AK 99577-8226
Phone 907-227-9592
Mailing address
11055 Owhat CirEagle River, AK 99577-8226
Phone 907-227-9592
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Other Certified Registered Nurse Anesthetist providers in Eagle River, AK
- Ashley Marie Kafka-Lunski, CRNANPI 1457059420
- Kelli LessmeierNPI 1457979353
- George Ralph Moseley, CRNANPI 1366439879
- James J Pfeiffer, CRNANPI 1245200088
- Jacob Szajkowski, CRNANPI 1841754983
All 6 Certified Registered Nurse Anesthetist providers in Eagle River · All 934 providers in Eagle River
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