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MS. RENEE SHAMP CRNA

>> Nurse Anesthetist, Certified Registered >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1861458408

Individual Registrant:
MS. RENEE  SHAMP CRNA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
66 VAN HORNE AVE  TYBEE ISLAND, GA 31328-9780 US
Tel: 502-553-4298  Fax: --

Contact information for business:
66 VAN HORNE AVE  TYBEE ISLAND, GA 31328-9780 US
Tel: 502-553-4298  Fax: --

Registration Information:
NPI: 1861458408
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
GARN142860 CRNA

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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