Shannon Quinn Hagan, CRNA
Nurse Anesthetist, Certified Registered in Randallstown, MD. Individual provider (NPI-1).
Details
- NPI
- 1295974343
- Entity type
- Individual (NPI-1)
- Name
- Shannon Quinn Hagan
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2009
- Last updated
- Mar 20, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R130677 | MD | Yes |
Practice location
5401 Old Court RdRandallstown, MD 21133-5103
Phone 410-701-4547 · Fax 410-701-4342
Mailing address
5401 Old Court RdRandallstown, MD 21133-5103
Phone 410-701-4547 · Fax 410-701-4342
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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