Individual
SHANNON J WOZNICK
Active
Individual
SHANNON J WOZNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
219596
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020670570002
—
PA
01
—
11971038
CAQH
PA
01
—
127186
GEISINGER
PA
01
—
1585281
GATEWAY
PA
01
—
2104400
HIGHMARK
PA
01
—
3713583000
IBC
PA
01
—
50085971
CAPITAL ADVANTAGE
PA
01
—
9720452
AETNA
PA
Enumeration date
11/13/2007
Last updated
06/27/2022
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