Individual
SHANNON D. WADDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3034
(814) 375-3384
Mailing address
PO BOX 447, DU BOIS, PA 15801-0447
(814) 375-3034
(814) 375-3384
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN522465L
PA
Other
Enumeration date
03/14/2007
Last updated
04/14/2011
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