Individual
SHAWN PATRICK REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
202 PROSPECT DR, GLENDIVE, MT 59330-1943
(406) 345-3306
Mailing address
202 PROSPECT DR, GLENDIVE, MT 59330-1943
(406) 345-3306
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
56474
MT
367500000X
Certified Registered Nurse Anesthetist
CRNA0580
AZ
Other
Enumeration date
07/30/2008
Last updated
02/08/2014
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