Individual
CRAIG SHANEWISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ERWIN RD, DURHAM, NC 27710-0001
(919) 684-3595
Mailing address
ERWIN RD, DURHAM, NC 27710-0001
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
48119
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051908
—
NC
Enumeration date
01/09/2007
Last updated
02/20/2008
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