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Judith D Shackelford, CRNA
Certified Registered Nurse Anesthetist in Fairmont, West Virginia
NPI 1447347117

Judith D Shackelford is a Certified Registered Nurse Anesthetist based in Charleston, WV. Judith D Shackelford practices in Fairmont, WV and has the professional credentials of CRNA. The NPI Number for Judith D Shackelford is 1447347117 and holds a License No. 18137 (West Virginia).

The current practice location address for Judith D Shackelford is Fairmont General Hospital, Fairmont, WV and can be reached out via phone at 304-367-7267 and via fax at 304-367-7503.

Location: Fairmont General Hospital, Fairmont, WV, 25339-1302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447347117
Provider Name
Judith D Shackelford
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
Fairmont General Hospital, Fairmont, WV, 25339-1302
Phone Number
304-367-7267
Fax Number
304-367-7503
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001907661 01 WV MSBCBS
001721190 01 WV MTN. STATE BLUE CROSS
0066583000 05 WV
3810006746 05 WV
DF0767 01 WV RR MEDICARE
205542387 01 WV AAP TRI CARE
P00377021 01 WV RR MEDICARE
0166583000 05 WV
20554238700 01 WV WORKERS COMP
institution
Provider Business Practice Location Address Details
Address
Fairmont General Hospital
City
Fairmont
State
West Virginia
Zip
26554
Phone Number
304-367-7267
Fax Number
304-367-7503
person
Provider Business Mailing Address Details
Address
Fairmont General Hospital
City
Fairmont
State
West Virginia
Zip
26554
Phone Number
304-367-7267
Fax Number
304-367-7503
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
18137 (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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