Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYEA DORAE SHINE
ActiveLYEA DORAE SHINE is a Certified Nurse Anesthetist (CRNA) healthcare provider located in PLEASANT HOPE, Missouri. NPI 1396346870 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · PLEASANT HOPE, MO
Registration Details
- NPI Number
- 1396346870
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 3, 2020 (5.7611755415846 yrs)
- Last Updated
- Jun 1, 2021
- Licenses
-
2014029095 (MO)811313 (NY)
Practice Information
- Address
-
502 MCCURRY STPLEASANT HOPE, MO, 657259231Browse MO providers · Browse ZIP 65725
- Phone
- 9042543686
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
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.