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Individual
SHIRLEY CAMPBELL WHITEFIELD
Active
Individual
SHIRLEY CAMPBELL WHITEFIELD
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
236398
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035790
RECERTIFICATION AANA
TX
05
—
120062805
—
TX
05
—
120062806
—
TX
05
—
1501361
—
LA
01
—
430069190
RAILROAD MEDICARE
TX
01
—
81976U
BLUE CROSS BLUE SHIELD
TX
01
—
85290U
BLUE CROSS BLUE SHIELD
TX
01
—
P00379493
RR MCR - TAC HOUSTON
TX
Enumeration date
10/04/2005
Last updated
03/03/2011
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