Individual provider · Type 1 NPI

Nicole Genevieve Shadwick, CRNA

Certified Registered Nurse Anesthetist · Lake Havasu City, AZ

NPI number 1447857552 Active

Practice location

101 Civic Center Ln
Lake Havasu City, AZ 86403-5607

Call (928) 855-8185 Map

Fax (928) 453-0453

Mailing address

660 S Euclid Ave, Cb 8054
St. Louis, MO 63110-1010

Other practice locations

  • 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, St. Louis, MO 63110-1003 · (800) 862-9980

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist 367500000X95002021 (CA)
Certified Registered Nurse Anesthetist 367500000XAPRN11022686 (FL)
Certified Registered Nurse Anesthetist 367500000X2022021771 (MO)
Certified Registered Nurse Anesthetist Primary 367500000X1026890 (TX)

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…

80 other providers at this address

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About NPI 1447857552

Nicole Genevieve Shadwick, CRNA's National Provider Identifier is 1447857552, issued on Oct 2, 2020. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Sep 8, 2025.