MRS. TINA SHANNON, CRNA

Nurse Anesthetist, Certified Registered

Active Individual
NPI: 1265435556

Practice Address

3200 MACCORKLE AVE SE
Charleston, WV 25304

Phone: (304) 388-5503

Specialties

Specialty Code Primary License
Nurse Anesthetist, Certified Registered 367500000X Yes 54626 (WV)

Frequently Asked Questions

NPI 1265435556 is the National Provider Identifier for MRS. TINA SHANNON, CRNA, a Nurse Anesthetist, Certified Registered provider located in Charleston, WV. This NPI was enumerated on May 31, 2005.
MRS. TINA SHANNON, CRNA practices at 3200 MACCORKLE AVE SE, Charleston, WV 25304.

Quick Facts

NPI
1265435556
Type
Individual
Enumerated
May 31, 2005
Last Updated
Apr 17, 2024

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