Individual
SHANA R BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
501 SUNSET LN, CULPEPER, VA 22701-3917
(540) 829-4100
Mailing address
PO BOX 748613, ATLANTA, GA 30384-8613
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024190830
VA
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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