Shane L Nelson CRNA

NPI 1780697565 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1780697565
Gender Male
Enumeration Date 08/14/2006
Last Updated 05/29/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
400 N HOLTZCLAW AVE
CHATTANOOGA TN, 37404-1916, US
Phone (423) 698-6871
Fax
Business Location
425 LEWIS HARGETT CIR
LEXINGTON KY, 40503-3590, US
Phone (859) 268-1030
Fax (859) 269-4120
Toxanomy
Taxonomy Code 367500000X
License State Tennessee
License Number 116935
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According to our database, Shane L Nelson CRNA NPI is 1780697565, taxonomy code is 367500000X and license number is 116935, license state is located at Tennessee. Shane L Nelson CRNA physically located at 400 N Holtzclaw Ave, Chattanooga TN, 37404-1916. NPI Number Shane L Nelson CRNA has the Individual type.

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1780697565 NPI number is provided on an as is basis without warranty of any kind. 1780697565 is maintained by the National Plan & Provider Enumeration System. The contents of Shane L Nelson CRNA are for informational purposes only.