IndividualActive
Rebecca Shaw, CFA
NPI 1275772667 · Plastic and Reconstructive Surgery Physician · Meridian, ID
Provider details
- NPI number
- 1275772667
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- CFA
- Sex
- Female
- Sole proprietor
- Yes
- License
- M-8189 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3630 E Louise Dr
Meridian, ID 83642-7975
Phone: (208) 377-9515
Approximate (ZIP-level) locationGet directions
Mailing address
3630 E Louise Dr
Meridian, ID 83642-7975
Registry dates
- Enumerated
- 2009-02-09
- Last updated
- 2009-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.