Organization
ASSURANT ANESTHESIA ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN BANNISTER CRNA (NURSE ANESTHETIST)
(808) 430-0587
Entity
Organization
Contact information
Practice address
75-5722 KUAKINI HWY STE 103, KAILUA KONA, HI 96740-1721
(808) 430-4822
Mailing address
77-367 HOOMALUHIA DR, KAILUA KONA, HI 96740-4473
(808) 430-4822
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207LP3000X
Pediatric Anesthesiology Physician
—
—
Other
Enumeration date
12/19/2022
Last updated
07/03/2023
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