Individual
SHANNON E CONLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
8017-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295244820
—
WI
Enumeration date
09/27/2017
Last updated
11/05/2020
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