Shank, Claudine A.

Shank, Claudine A. is an sole proprietor health care provider with primary practice located at 3631 Tuscanna Grv , Colorado Springs CO 80920-2820. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Shank, Claudine A. can be contacted via phone (719) 219-9573.

Contact Information

Primary practice address
3631 Tuscanna Grv Colorado Springs CO 80920-2820
Phone: (719) 219-9573
Fax: (719) 219-9573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 114275 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN.0004377-CRNA Colorado

Profile Details

NPI number 1174517494
LBN Legal business name Shank, Claudine A.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2005
Last updated Nov 6th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174517494 NPPES
Indiana MEDICAID 200508120

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