SHANNON DOHERTY, CRNA

Nurse Anesthetist, Certified Registered

Active Individual
NPI: 1295791580

Practice Address

30200 TELEGRAPH RD
SUITE 220
Bingham Farms, MI 48025

Phone: (248) 258-5058

Specialties

Specialty Code Primary License
Nurse Anesthetist, Certified Registered 367500000X Yes 4704140193 (MI)

Frequently Asked Questions

NPI 1295791580 is the National Provider Identifier for SHANNON DOHERTY, CRNA, a Nurse Anesthetist, Certified Registered provider located in Bingham Farms, MI. This NPI was enumerated on April 25, 2006.
SHANNON DOHERTY, CRNA practices at 30200 TELEGRAPH RD, SUITE 220, Bingham Farms, MI 48025.

Quick Facts

NPI
1295791580
Type
Individual
Enumerated
Apr 25, 2006
Last Updated
Apr 12, 2017

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