Nguyen, Shannon

Nguyen, Shannon is an individual health care provider with primary practice located at 601 W Maple Ave Ste 503 , Springdale AR 72764. 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. Nguyen, Shannon can be contacted via phone (479) 751-3722.

Contact Information

Primary practice address
601 W Maple Ave Ste 503 Springdale AR 72764
Phone: (479) 751-3722
Fax: (479) 751-1099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2018029466 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C003264 Arkansas

Profile Details

NPI number 1053890327
LBN Legal business name Nguyen, Shannon
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2018
Last updated Jun 18th, 2021 - 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 1053890327 NPPES
Arkansas MEDICAID 231408001
Arkansas Other 5DN38
Arkansas MEDICAID 910060005

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