Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE VERL THEOBALD, CRNA
ActiveSHANE VERL THEOBALD, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in VERNAL, Utah. NPI 1174783492 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · VERNAL, UT
Registration Details
- NPI Number
- 1174783492
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2008 (18.137884162844 yrs)
- Last Updated
- Jun 10, 2008
- License
-
4938276-4406 (UT)
Practice Information
- Address
-
151 W 200 NVERNAL, UT, 840781907Browse UT providers · Browse ZIP 84078
- Phone
- 4357811519
- Fax
- 4357811519
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in VERNAL, UT
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL ARTHUR HARTMAN | — | 1417075102 |
| MR. DEE LEWIS BAMBROUGH | CRNA | 1700904455 |
| PAULINE FROME | CRNA | 1336268655 |
| EDWIN BULLOCH | CRNA | 1922311133 |
| DUSTIN TODD BRADLEY | — | 1942684162 |
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.