Gunderson, Shanika H

Gunderson, Shanika H is an individual health care provider with primary practice located at 2345 Dougherty Ferry Rd , St Louis MO 63122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Gunderson, Shanika H can be contacted via phone (314) 821-5850.

Contact Information

Primary practice address
2345 Dougherty Ferry Rd St Louis MO 63122
Phone: (314) 821-5850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2001003222 Missouri

Profile Details

NPI number 1326256363
LBN Legal business name Gunderson, Shanika H
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated May 14th, 2009 - about 17 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 1326256363 NPPES
Missouri MEDICAID 914462007

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