Shad Fly
CRNA (Nurse Anesthetist) · Spokane, WA
UnclaimedNPI 1861055006
- Primary taxonomy
- 367500000X
- Enumerated
- 2019-04-15
- Practice location
- Spokane, WA
- Last NPPES update
- 2022-06-22
State licenses
- WA · Crna · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.