Individual provider · Type 1 NPI

Shea Randi Clark

Certified Registered Nurse Anesthetist · Charlotte, NC

NPI number 1043882764 Active

Practice location

1000 Blythe Blvd
Charlotte, NC 28203-5812

Call (704) 355-2000 Map

Mailing address

704 Valleyview Dr
Albemarle, NC 28001-9592

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X138248 (NC)
Registered Nurse 163W00000X270821 (NC)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1043882764

Shea Randi Clark's National Provider Identifier is 1043882764, issued on Jul 13, 2021. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Charlotte, NC. The record was last updated on Feb 14, 2022.