Individual
SHAWN L MCNEALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2301 25TH ST S STE K, FARGO, ND 58103-6104
(701) 234-1728
(701) 234-1681
Mailing address
1720 UNIVERSITY DR S, ROUTE 1707, FARGO, ND 58103-4940
(701) 234-1728
(701) 234-1681
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R26995
ND
Other
Enumeration date
07/17/2006
Last updated
06/30/2021
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