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Individual

TANA JAY SHIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
5877 W YUMA MINE CIR, TUCSON, AZ 85743-9717
(253) 905-9657
Mailing address
5877 W YUMA MINE CIR, TUCSON, AZ 85743-9717
(253) 905-9657

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN207066
AZ
367500000X
Certified Registered Nurse Anesthetist
277707
AZ

Other

Enumeration date
02/28/2019
Last updated
07/29/2022
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