person
Mr. Samuel Teagan Shaw, FNP-C
Family Nurse Practitioner in Twin Falls, Idaho
NPI 1073248787

Samuel Teagan Shaw is a Family Nurse Practitioner based in Twin Falls, ID and is specialized in Family. Samuel Teagan Shaw practices in Twin Falls, ID and has the professional credentials of FNP-C. The NPI Number for Samuel Teagan Shaw is 1073248787 and holds a License No. 73570 (Idaho).

The current practice location address for Samuel Teagan Shaw is 1835 Harrison St N Unit 16104, Twin Falls, ID and can be reached out via phone at 208-431-3570.

Location: 1835 Harrison St N Unit 16104, Twin Falls, ID, 83301-4294
person
Provider Profile Details
NPI Number
1073248787
Provider Name
Samuel Teagan Shaw
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
1835 Harrison St N Unit 16104, Twin Falls, ID, 83301-4294
Phone Number
208-431-3570
Fax Number
Provider Enumeration Date
07/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1835 Harrison St N Unit 16104
City
State
Zip
83301-4294
Phone Number
208-431-3570
Fax Number
person
Provider Business Mailing Address Details
Address
1835 Harrison St N Unit 16104
City
State
Zip
83301-4294
Phone Number
208-431-3570
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
73570 (Idaho)
Definition
Definition to come...
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