Individual
SHANE MICHAEL PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1500 S MILL AVE, TEMPE, AZ 85281-6699
(480) 784-5500
Mailing address
242 S BECK AVE APT 231, TEMPE, AZ 85281-2478
(805) 914-4081
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
228767
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
153800
AZ
Other
Enumeration date
08/29/2022
Last updated
06/03/2025
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