Individual
COLE R SHAWVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 W 4TH ST, COFFEYVILLE, KS 67337-3306
(620) 251-1200
Mailing address
1400 W 4TH ST, COFFEYVILLE, KS 67337-3306
(620) 251-1200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
154164
KS
367500000X
Certified Registered Nurse Anesthetist
AP61095990
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2166074
—
WA
Enumeration date
10/01/2014
Last updated
06/14/2021
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