Brent E Shields, CRNA
Nurse Anesthetist, Certified Registered in Saint Peters, MO. Individual provider (NPI-1).
NPI number1740575232
StatusActive
Last updated in NPPESJun 13, 2011
Details
- NPI
- 1740575232
- Entity type
- Individual (NPI-1)
- Name
- Brent E Shields
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2011
- Last updated
- Jun 13, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2011011838 | MO | Yes |
Practice location
10 Hospital DrSaint Peters, MO 63376-1659
Phone 636-916-9180
Mailing address
Po Box 5Hazelwood, MO 63042-0005
Phone 314-895-3828 · Fax 636-922-5157
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