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Mrs. Tina Nannette Shannon, CRNA
Certified Registered Nurse Anesthetist in Charleston, West Virginia
NPI 1265435556

Tina Nannette Shannon is a Certified Registered Nurse Anesthetist based in Charleston, WV. Tina Nannette Shannon practices in Charleston, WV and has the professional credentials of CRNA. The NPI Number for Tina Nannette Shannon is 1265435556 and holds a License No. 54626 (West Virginia).

The current practice location address for Tina Nannette Shannon is 3200 Maccorkle Ave Se, Charleston, WV and can be reached out via phone at 304-388-5503.

Location: 3200 Maccorkle Ave Se, Charleston, WV, 25314-2471
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265435556
Provider Name
Tina Nannette Shannon
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
3200 Maccorkle Ave Se, Charleston, WV, 25314-2471
Phone Number
304-388-5503
Fax Number
Provider Enumeration Date
05/31/2005
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
27005299700 01 WV WORKER'S COMP-MAAC
2624413 05 OH
270052997 01 WV TAX ID -MAAC
2601300000 05 WV
P00258571 01 WV MEDICARE
001713630 01 WV BCBS-MAAC
institution
Provider Business Practice Location Address Details
Address
3200 Maccorkle Ave Se
City
Charleston
State
West Virginia
Zip
25304-1227
Phone Number
304-388-5503
Fax Number
person
Provider Business Mailing Address Details
Address
3200 Maccorkle Ave Se
City
Charleston
State
West Virginia
Zip
25304-1227
Phone Number
304-388-5503
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
54626 (West Virginia)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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