MR. Samuel Teagan Shaw, FNP-C
NPI #1073248787 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1073248787
- Entity Type
- Individual
- Name
- MR. Samuel Teagan Shaw, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-C
- Enumeration Date
- Jul 18, 2022
- Last Updated
- Jul 19, 2022
Practice Location
- Address
- 1835 HARRISON ST N UNIT 16104
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-4294
- Phone
- (208) 431-3570
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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