Individual
SHANDA SPEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
408 WENDELL AVE, LEWISTOWN, MT 59457-2261
(406) 535-7711
Mailing address
408 WENDELL AVE, LEWISTOWN, MT 59457-2261
(406) 535-7711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
083573
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
NUR-APRN-LIC-101159
MT
Other
Enumeration date
06/28/2010
Last updated
03/14/2023
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