Shane Carllson, RN

NPI #1861823106 in Bethel, Alaska

Provider Information

NPI Number
1861823106
Entity Type
Individual
Name
Shane Carllson, RN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse
Credential
RN
Enumeration Date
Dec 12, 2013
Last Updated
Dec 12, 2013

Practice Location

Address
829 CHEIF EDDIE HOFFMAN HWY
City
Bethel
State
Alaska
ZIP Code
99559
Phone
(907) 549-6809

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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