IndividualActive
Amy Shaw, PA
NPI 1942603097 · Medical Physician Assistant · Cheyenne, WY
Provider details
- NPI number
- 1942603097
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PT615 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6108 Shannon Ave
Cheyenne, WY 82009-3537
Phone: (619) 962-5026
Fax: (307) 263-7546
Approximate (ZIP-level) locationGet directions
Mailing address
6108 Shannon Ave
Cheyenne, WY 82009-3537
Registry dates
- Enumerated
- 2014-10-03
- Last updated
- 2024-10-25
- Certified
- 2024-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.