Individual
SHAYNE HAUGLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3073 WHITE MOUNTAIN HWY, NORTH CONWAY, NH 03860-5111
(603) 356-5461
(603) 356-7651
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6586
(305) 585-5830
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
048592311
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9336042
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010732448
TRICARE WHITE MTN ANESTH.
NH
05
—
135830000
—
ME
05
—
237640099
—
ME
01
—
276054
HARVARD INDIVIDUAL
NH
05
—
30342370
—
NH
01
—
40Y003831NH01
ANTHEM INDIVIDUAL
NH
01
—
50Y152300MA01
ANTHEM WHITE MTN ANESTH.
NH
01
—
693984
TUFTS INDIVIDUAL
NH
01
—
NI1207
ACS WHITE MTN ANESTHESIA
NH
01
—
NI1211
ACS INDIVIDUAL
NH
Enumeration date
10/14/2005
Last updated
01/19/2024
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