Individual
SHAWN A WREN
Active
Individual
SHAWN A WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
59106
ID
367500000X
Certified Registered Nurse Anesthetist
CRNA-01479
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922530062
—
ID
Enumeration date
03/29/2017
Last updated
07/30/2018
Update your record
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