Individual
MR. SHANNON D DALE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 COLLEGE ST, YALE NEW HAVEN HOSPITAL, NEW HAVEN, CT 06511-8962
(203) 432-2700
Mailing address
640 URLACHER DR, MURFREESBORO, TN 37129-8998
(615) 796-0057
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
003790
CT
367500000X
Certified Registered Nurse Anesthetist
071173
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
20635
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3634996
—
TN
01
—
4072296
BCBS NUMBER
TN
05
—
74007634
—
KY
05
—
PENDING
—
SC
Enumeration date
07/29/2005
Last updated
12/21/2021
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