Individual
MRS. CLAUDINE A. SHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3631 TUSCANNA GRV, COLORADO SPRINGS, CO 80920-2820
(719) 219-9573
(719) 219-9573
Mailing address
3631 TUSCANNA GRV, COLORADO SPRINGS, CO 80920-2820
(719) 219-9573
(719) 219-9573
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
114275
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0004377-CRNA
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200508120
—
IN
Enumeration date
08/31/2005
Last updated
11/06/2019
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