Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HANNA RAE SHAW
Active Sole ProprietorHANNA RAE SHAW is a Physician Assistant healthcare provider located in FORT MYERS, Florida. NPI 1720608748 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FORT MYERS, FL
Registration Details
- NPI Number
- 1720608748
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 20, 2020 (6.3124079822746 yrs)
- Last Updated
- Jul 2, 2024
- License
-
PA9114423 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12700 CREEKSIDE LN STE 301FORT MYERS, FL, 339193356Browse FL providers · Browse ZIP 33919
- Phone
- 2393433780
- Fax
- 2393433781
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FORT MYERS, FL
| Name | Credential | NPI |
|---|---|---|
| MATTHEW EDWARD MEAGHER | PAC | 1730185356 |
| MR. JARED P. REISS | PA-C | 1558360206 |
| PASQUALE JOHN DEFIORE | PA-C | 1063413458 |
| CLAUDETTE F JACKSON | PAC | 1962494450 |
| MS. KRISTIN J OVADAL | PAC | 1063407930 |
| BARBARA J MAGGIANI | PA-C | 1942282546 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.