Individual
SHIRLEY PAUL
Active
Individual
SHIRLEY PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209010088
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
2683
MN
367500000X
Certified Registered Nurse Anesthetist
RN176450
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89231
ANCC CERTIFICATION
—
Enumeration date
12/17/2012
Last updated
12/08/2023
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