Individual provider · Type 1 NPI
Judith D. Shackelford, CRNA
Certified Registered Nurse Anesthetist · Fairmont, WV
Practice location
Fairmont General Hospital, 1325 Locust Avenue
Fairmont, WV 26554
Fax (304) 367-7503
Mailing address
PO Box 11302
Charleston, WV 25339-1302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Certified Registered Nurse Anesthetist Primary | 367500000X | 18137 (WV) |
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 1447347117
Judith D. Shackelford, CRNA's National Provider Identifier is 1447347117, issued on Oct 6, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Fairmont, WV. The record was last updated on May 14, 2008.