Individual
MANARDIE FRANCIS SHIMATA
Active
Individual
MANARDIE FRANCIS SHIMATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNAP, CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
164348
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
277586-4406
UT
367500000X
Certified Registered Nurse Anesthetist
AP30006270
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190246100
DEPT OF LABOR
UT
01
—
219498
ALTIUS
UT
05
—
49408844
—
CO
01
—
68295
PEHP
UT
01
—
TPRA07902
MOLINA
UT
Enumeration date
08/10/2006
Last updated
10/03/2018
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