Individual
SHANNON SHANKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-ANESTHESIA, CRNA
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-4000
Mailing address
1423 SUWANNEE LN, BENTON, LA 71006-8805
(318) 272-6089
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
229131
LA
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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