Individual
ABIGAIL DEBRA SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1400 LOCUST ST, PITTSBURGH, PA 15219-5114
(412) 232-8939
(412) 232-7384
Mailing address
1400 LOCUST ST, PITTSBURGH, PA 15219-5114
(412) 232-8909
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
077250
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8052900
NC MEDICAID
NC
01
—
NAN777
SC MEDICAID
SC
Enumeration date
02/14/2007
Last updated
11/18/2019
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