Individual
SHIRLEY ANN SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4370 W MAIN STREET, DOTHAN, AL 36305
(334) 793-5000
(334) 615-8419
Mailing address
PO BOX 6907, DOTHAN, AL 36302
(334) 793-5000
(334) 615-8419
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1045691
AL
367500000X
Certified Registered Nurse Anesthetist
ARNP2697142
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04689704
—
MS
05
—
1771414
—
LA
01
—
51515686
BLUE CROSS BLUE SHIELD
AL
Enumeration date
04/20/2006
Last updated
07/08/2007
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