Individual
AIMEE SHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1051 W SOUTH ST, KEWANEE, IL 61443-8354
(309) 852-7500
Mailing address
278 PIN OAK CT, DAHINDA, IL 61428-9769
(309) 339-1259
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.008194
IL
Other
Enumeration date
07/09/2010
Last updated
02/05/2013
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