Shannon Lacey Staten, CRNA

NPI #1437421773 in Vidalia, Georgia

Provider Information

NPI Number
1437421773
Entity Type
Individual
Name
Shannon Lacey Staten, CRNA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Feb 2, 2012
Last Updated
Aug 27, 2015

Practice Location

Address
1 MEADOWS PKWY
State
Georgia
ZIP Code
30474-8759
Phone
(912) 538-5537

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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