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NPI Code Detail

MEDICARE: DEVIN C SHAW CRNA

MEDICARE: DEVIN C SHAW CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistRN9292366FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093151052
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVIN C SHAW CRNA
Provider Business Mailing Address
First Line : PO BOX 198441
Second Line :
City : TAMPA
State : FL
Zip : 33612-9416
Country : US
Telephone Number : 813-745-7365
Fax Number : 813-449-8618
Provider Business Practice Location Address
First Line : 3100 E FLETCHER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33613-4613
Country : US
Telephone Number : 813-615-7294
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2013
Last Update Date : 01/28/2026

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Directions to “ DEVIN C SHAW CRNA” Practice Location

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