Individual
SHELBY LANE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
609 W MAPLE AVE, SPRINGDALE, AR 72764-5335
(479) 751-3722
Mailing address
601 W MAPLE AVE STE 503, SPRINGDALE, AR 72764-5376
(479) 751-3722
(479) 751-1099
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R096215
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
120139
AR
Other
Enumeration date
02/05/2019
Last updated
06/23/2020
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