Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON LACEY STATEN, CRNA
Active Sole ProprietorSHANNON LACEY STATEN, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in VIDALIA, Georgia. NPI 1437421773 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · VIDALIA, GA
Registration Details
- NPI Number
- 1437421773
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 2, 2012 (14.532952954951 yrs)
- Last Updated
- Aug 27, 2015
- License
-
RN188967 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 MEADOWS PKWYVIDALIA, GA, 304748759Browse GA providers · Browse ZIP 30474
- Phone
- 9125385537
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in VIDALIA, GA
| Name | Credential | NPI |
|---|---|---|
| TIMOTHY ROOSE | CRNA | 1881689917 |
| ANN MARIE CHALKER | CRNA | 1972783546 |
| DAMON KEITH JESSUP | CRNA | 1851578637 |
| DANIEL TYLER HARRIS | CRNA | 1730572850 |
| BRANDON REEVES BLOUNT | CRNA | 1457006256 |
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.