Individual
SHANNA E VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3610 RICHMOND CIR, GRAND ISLAND, NE 68803-3927
(308) 382-7744
Mailing address
PO BOX 5524, GRAND ISLAND, NE 68802-5524
(308) 382-7744
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101218
NE
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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