Individual
SHAUNA GANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
916 4TH AVE SW, PIPESTONE, MN 56164-1890
(507) 825-5700
(507) 825-6106
Mailing address
916 4TH AVE SW, PIPESTONE, MN 56164-1890
(507) 825-5700
(507) 825-6106
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
R030241
SD
367500000X
Certified Registered Nurse Anesthetist
Primary
R229714-1
MN
Other
Enumeration date
03/22/2007
Last updated
10/15/2015
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