Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE D FALTYS, CRNA
Active Sole ProprietorSHANE D FALTYS, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in POPLAR BLUFF, Missouri. NPI 1164640926 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · POPLAR BLUFF, MO
Registration Details
- NPI Number
- 1164640926
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2007 (19.32506851945 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
2004031200 (MO)D-102109 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2620 N WESTWOOD BLVDPOPLAR BLUFF, MO, 639013396Browse MO providers · Browse ZIP 63901
- Phone
- 5737182710
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Certified Nurse Anesthetist (CRNA) Providers in POPLAR BLUFF, MO
| Name | Credential | NPI |
|---|---|---|
| ROBERT H MIELKE | CRNA | 1629056650 |
| DONALD FOUST | CRNA | 1477532430 |
| JOHN BOLLENBACHER | CRNA | 1952380792 |
| JOEL W. MURPHREE | CRNA | 1659440204 |
| MR. RICHARD LEROY CRAYTON | — | 1356555148 |
| MARTIN VAUGHN | CRNA | 1003025826 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.