Individual
SHANNON L GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 HOSPITAL DR, WARRENTON, VA 20186-3027
(540) 316-5730
(540) 316-5701
Mailing address
69 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2358
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024169896
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326317660
—
VA
05
—
1366450173
—
VA
01
—
312299
KAISER
VA
Enumeration date
12/15/2011
Last updated
03/20/2015
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