Individual
SHANNON NICOLE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 235-3451
Mailing address
823 SW MULVANE ST, TOPEKA, KS 66606-1764
(785) 235-3451
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4416
CA
367500000X
Certified Registered Nurse Anesthetist
99055
KS
Other
Enumeration date
10/04/2012
Last updated
04/20/2022
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