Samantha M Shankle, CRNA
Nurse Anesthetist, Certified Registered in Rochester, MI. Individual provider (NPI-1).
NPI number1881731024
StatusActive
Last updated in NPPESApr 11, 2017
Details
- NPI
- 1881731024
- Entity type
- Individual (NPI-1)
- Name
- Samantha M Shankle
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2007
- Last updated
- Apr 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704239106 | MI | Yes |
Practice location
1101 W University DrRochester, MI 48307-1863
Phone 248-652-5354 · Fax 248-652-5861
Mailing address
1101 W University DrRochester, MI 48307-1863
Phone 248-652-5354 · Fax 248-652-5861
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