Individual
SUSAN SHENKOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1200 N STATE ST, IPT, ROOM C4E100, LOS ANGELES, CA 90033-1029
(323) 409-4597
(323) 441-8085
Mailing address
1200 N STATE ST, IPT, ROOM C4E100, LOS ANGELES, CA 90033-1029
(323) 409-4597
(323) 441-8085
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
712121
CA
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.0020187
OH
Other
Enumeration date
11/06/2013
Last updated
11/04/2020
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