Individual
MRS. BRENDA C SHEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-6000
Mailing address
125COUNTY ROAD 622, OAK GROVE, AR 72660
(870) 749-2097
(870) 749-2210
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
075234
MO
367500000X
Certified Registered Nurse Anesthetist
C01097
AR
Other
Enumeration date
10/11/2006
Last updated
04/24/2008
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