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Individual
SHANA NACOLE RUEGG
Active
Individual
SHANA NACOLE RUEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
716634
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312852202
—
TX
01
—
8868UG
BCBS
TX
01
—
P01446715
RR
TX
Enumeration date
07/17/2012
Last updated
09/22/2015
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