Individual
NANCY J SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8804 SUNDANCE PLACE CT, GRANBURY, TX 76049-4217
(817) 228-2531
Mailing address
8804 SUNDANCE PLACE CT, GRANBURY, TX 76049-4217
(817) 228-2531
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
235842
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006856104
—
TX
05
—
006856107
—
TX
05
—
200020770A
—
OK
01
—
83824U
BCBS
TX
01
—
84054U
BCBS
TX
Enumeration date
01/30/2006
Last updated
03/02/2011
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