Individual
MS. KAREN PATRICIA SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4343 N JOSEY LN, CARROLLTON, TX 75010-4603
(972) 394-2412
(972) 394-2328
Mailing address
13601 PRESTON RD, SUITE 900W, DALLAS, TX 75240-4911
(972) 233-1999
(972) 386-4292
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
506021
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088763003
—
TX
01
—
84366U
BCBS
TX
Enumeration date
12/29/2005
Last updated
03/13/2009
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