Individual
STEPHANIE ANN SHINABERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2710 RIFE MEDICAL LN, ROGERS, AR 72758-1452
(479) 338-3000
(479) 936-2912
Mailing address
PO BOX 507, LOWELL, AR 72745-0507
(816) 461-8288
(816) 461-6586
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C02610
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161334001
—
AR
05
—
200101600A
—
OK
01
—
R29289
AR RN LICENSE NUMBER
AR
Enumeration date
05/24/2006
Last updated
10/07/2008
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