Shannan Rotruck, CRNA
NPI #1255753455 in Pearl Harbor, Hawaii
Provider Information
- NPI Number
- 1255753455
- Entity Type
- Individual
- Name
- Shannan Rotruck, CRNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Credential
- CRNA
- Enumeration Date
- Jan 8, 2014
- Last Updated
- Nov 2, 2022
Practice Location
- Address
- 480 CENTRAL AVE
- City
- Pearl Harbor
- State
- Hawaii
- ZIP Code
- 96860-4908
- Phone
- (808) 474-4242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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