Donna Jean Shupe CRNA

NPI 1679710685 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1679710685
Gender Female
Enumeration Date 01/13/2009
Last Updated 02/08/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
HAGERSTOWN MD, 21740-5724, US
Phone (301) 665-1717
Fax (301) 665-1810
Business Location
PO BOX 1248
HAGERSTOWN MD, 21740-1248, US
Phone (301) 665-1717
Fax (301) 665-1810
Taxonomy Code 164W00000X
License State Virginia
License Number 081511
Remove 1679710685 NPI Number

According to our database, Donna Jean Shupe CRNA NPI is 1679710685, taxonomy code is 164W00000X and license number is 081511, license state is located at Virginia. Donna Jean Shupe CRNA physically located at 251 E Antietam Street, Hagerstown MD, 21740-5724. NPI Number Donna Jean Shupe CRNA has the Individual type.

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1679710685 NPI number is provided on an as is basis without warranty of any kind. 1679710685 is maintained by the National Plan & Provider Enumeration System. The contents of Donna Jean Shupe CRNA are for informational purposes only.