Individual
SHANNON SUZANNE SPIES INGERSOLL
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
103929
WI
367500000X
Certified Registered Nurse Anesthetist
209033784
IL
367500000X
Certified Registered Nurse Anesthetist
R 134764-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120G5SP
BCBSMN
MN
05
—
203664900
—
MN
Enumeration date
08/12/2005
Last updated
07/22/2026
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