Individual
CHERYL SHADDEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 482-4781
(580) 481-2345
Mailing address
PO BOX 8190, ALTUS, OK 73522-8190
(580) 482-4781
(580) 481-2345
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0082426
OK
Other
Enumeration date
06/22/2005
Last updated
07/08/2007
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