Individual
SUSAN MARIE SHINGLEDECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1211 WILMINGTON AVE, NEW CASTLE, PA 16105-2516
(724) 656-4092
(724) 269-9476
Mailing address
1601 MOTOR INN DR, SUITE 310, GIRARD, OH 44420-2420
(724) 824-4096
(724) 269-9476
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN276058
OH
163W00000X
Registered Nurse
RN349335L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
086375
PA
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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