Individual
MRS. SHELLEY ANN COLAR
Active
Individual
MRS. SHELLEY ANN COLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704211512
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704211512
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104813010
—
MI
01
—
SZ211512
BLUE CROSS OF MI
MI
Enumeration date
05/19/2006
Last updated
11/23/2020
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