Individual
SHANNON ELIZABETH OGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-5851
(502) 852-3762
Mailing address
701 N 1ST ST, ANESTHESIA DEPT, SPRINGFIELD, IL 62781-0001
(217) 788-3755
(217) 788-7071
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209015641
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
3014992
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111190
NBCRNA
—
05
—
300042865
—
IN
05
—
7100693300
—
KY
Enumeration date
02/24/2017
Last updated
10/06/2020
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