Individual provider · Type 1 NPI
Lyea Dorae Shine
Certified Registered Nurse Anesthetist · Pleasant Hope, MO
Practice location
502 Mccurry St
Pleasant Hope, MO 65725-9231
Mailing address
PO Box 68
Fayetteville, NY 13066-0068
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 2014029095 (MO) |
| Certified Registered Nurse Anesthetist Primary | 367500000X | 811313 (NY) |
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…
About NPI 1396346870
Lyea Dorae Shine's National Provider Identifier is 1396346870, issued on Nov 3, 2020. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Pleasant Hope, MO. The record was last updated on Jun 1, 2021.