Individual
MR. LADD SHANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
557 W WASHINGTON ST, BURNS, OR 97720
(541) 573-7281
Mailing address
8766 GALLOWAY TRL, NOVELTY, OH 44072-9653
(440) 338-6955
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201805701CRNA-PP
OR
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.02531
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0869163
—
OH
Enumeration date
08/22/2005
Last updated
11/19/2018
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