Schruff, Shane Anthony

Schruff, Shane Anthony is an individual health care provider with primary practice located at 3348 W Esplanade Ave S Suite A, Metairie LA 70002-3475. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Schruff, Shane Anthony can be contacted via phone (504) 455-2240.

Contact Information

Primary practice address
3348 W Esplanade Ave S Suite A Metairie LA 70002-3475
Phone: (504) 455-2240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP07148 Louisiana

Profile Details

NPI number 1134467079
LBN Legal business name Schruff, Shane Anthony
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2013
Last updated Jun 2nd, 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 1134467079 NPPES
Louisiana Other 07148 LOUISIANA STATE BOARD OF NURSING, ADVANCED PRACTICE REGISTERED NURSE
Louisiana Other F1112162 LOUISIANA STATE BOARD OF NURSING, ADVANCED PRACTICE REGISTERED NURSE

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