Hanna R Shaw
Physician Assistant in Fort Myers, Florida
1720608748- Practice location
- 12700 Creekside Ln Ste 301, Fort Myers, FL 33919-3356
- Phone
- 239-343-3780
- Fax
- 239-343-3781
- Last updated
- July 2, 2024
Hanna Rae Shaw is a Physician Assistant based in Fort Myers, FL. Hanna Rae Shaw practices in Fort Myers, FL. The NPI Number for Hanna Rae Shaw is 1720608748 and holds a License No. PA9114423 (FL). The current practice location address for Hanna Rae Shaw is 12700 Creekside Ln Ste 301, Fort Myers, FL 33919-3356 and can be reached out via phone at 239-343-3780 and via fax at 239-343-3781.
Provider Profile Details
- NPI Number
- 1720608748
- Provider Name
- Hanna Rae Shaw
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 12700 Creekside Ln Ste 301, Fort Myers, FL 33919-3356
- Phone Number
- 239-343-3780
- Fax Number
- 239-343-3781
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 20, 2020
- Last Update Date
- July 2, 2024
- Certification Date
- July 2, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12700 Creekside Ln Ste 301
Fort Myers, FL 33919-3356 - City
- Fort Myers
- State
- Florida
- Zip
- 33919-3356
- Phone Number
- 239-343-3780
- Fax Number
- 239-343-3781
Provider Business Mailing Address Details
- Address
- Po Box 2147
Fort Myers, FL 33902-2147 - City
- Fort Myers
- State
- FL
- Zip
- 33902-2147
- Phone Number
- 239-343-9960
- Fax Number
- 239-424-4006
License Information
- License Number
- PA9114423
- License State
- FL
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Fort Myers, FL
View all Physician Assistants in Fort Myers →Frequently Asked Questions
What is the NPI number of Hanna R Shaw?
The NPI number of Hanna R Shaw is 1720608748. It was assigned on April 20, 2020 and is currently active in the NPPES registry.
What is the specialty of Hanna R Shaw?
Hanna R Shaw is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in FL under license number PA9114423.
Where does Hanna R Shaw practice?
The practice location is 12700 Creekside Ln Ste 301, Fort Myers, FL 33919-3356. The office can be reached at 239-343-3780 (phone) or 239-343-3781 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720608748 directly on the NPPES registry website.