Individual
MEEJIN SHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
670 STONELEIGH AVE, CARMEL, NY 10512-3997
(845) 279-5711
Mailing address
9072 EMERSON DR, SALINE, MI 48176-8007
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
111781
CT
163W00000X
Registered Nurse
398844
OH
163W00000X
Registered Nurse
4704243812
MI
163W00000X
Registered Nurse
6716401
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
4704243812
MI
367500000X
Certified Registered Nurse Anesthetist
5384
CT
Other
Enumeration date
07/23/2013
Last updated
03/17/2018
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