Individual provider · Type 1 NPI

Shane Park, CRNA

Certified Registered Nurse Anesthetist · Oro Valley, AZ

NPI number 1629520127 Active

Practice location

1551 E Tangerine Rd
Oro Valley, AZ 85755-6213

Mailing address

11234 Anderson St
Loma Linda, CA 92354-2804

Other practice locations

  • 11234 Anderson Street, Loma Linda, CA 92354 · (213) 700-0178

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist 367500000X95000619 (CA)
Certified Registered Nurse Anesthetist Primary 367500000X233774 (AZ)

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 1629520127

Shane Park, CRNA's National Provider Identifier is 1629520127, issued on Oct 31, 2016. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Oro Valley, AZ. The record was last updated on Apr 28, 2025.