Individual
SHAWNA M.W. VANVALKENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5 MEDICAL PARK DRIVE, COLUMBIA, SC 29010
(803) 434-5000
Mailing address
9 SHADY CREEK COURT, IRMO, SC 29063
(803) 781-3008
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3229
SC
Other
Enumeration date
05/02/2007
Last updated
01/02/2008
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