Individual
SHANE JOSEPH TROSCLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1240 HUFFMAN MILL RD, BURLINGTON, NC 27215-8700
(336) 538-7000
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0795
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
3006972
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
82125
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100190420
—
KY
Enumeration date
06/19/2009
Last updated
10/27/2020
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