Individual
ROSE ANN M SHRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-1100
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-1078
(417) 347-1079
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024175595
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
2003014812
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100642920A
—
KS
05
—
200012970A
—
OK
05
—
919010702
—
MO
01
—
P00041618
RR MEDICARE
—
Enumeration date
06/19/2006
Last updated
12/18/2024
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