MRS. Tina Nannette Shannon, CRNA
NPI #1265435556 in Charleston, West Virginia
Provider Information
- NPI Number
- 1265435556
- Entity Type
- Individual
- Name
- MRS. Tina Nannette Shannon, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- May 31, 2005
- Last Updated
- Apr 17, 2024
Practice Location
- Address
- 3200 MACCORKLE AVE SE
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25304-1227
- Phone
- (304) 388-5503
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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