Individual provider · NPI-1

Shelly Rene Eriksson, CRNA

Nurse Anesthetist, Certified Registered · Bryan, TX

NPI number1003052499
StatusActive
Last updated in NPPESMar 26, 2009

Details

NPI
1003052499
Entity type
Individual (NPI-1)
Name
Shelly Rene Eriksson
Credential
CRNA
Sex
Female
Sole proprietor
No
Enumeration date
Jan 6, 2009
Last updated
Mar 26, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered081106TXYes

Practice location

1737 Briarcrest Dr
Suite 14
Bryan, TX 77802-2769

Phone 979-776-4777 · Fax 979-776-0588

Mailing address

1737 Briarcrest Dr
Suite 14
Bryan, TX 77802-2769

Phone 979-776-4777 · Fax 979-776-0588

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