Shanda Speed, CRNA | |
408 Wendell Ave, Lewistown, MT 59457-2261 | |
(406) 535-7711 | |
Not Available |
Full Name | Shanda Speed |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 408 Wendell Ave, Lewistown, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619288487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 083573 (Connecticut) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | NUR-APRN-LIC-101159 (Montana) | Primary |
Entity Name | Central Montana Medical Facilities Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497868814 PECOS PAC ID: 5395639793 Enrollment ID: O20040209000295 |
Entity Name | Cmsc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639109978 PECOS PAC ID: 5890602494 Enrollment ID: O20130502000527 |
Mailing Address | Practice Location Address |
---|---|
Shanda Speed, CRNA 408 Wendell Ave, Lewistown, MT 59457-2261 Ph: (406) 535-7711 | Shanda Speed, CRNA 408 Wendell Ave, Lewistown, MT 59457-2261 Ph: (406) 535-7711 |
Mr. Ireneo Tumali De Guzman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 408 Wendell Ave, Lewistown, MT 59457 Phone: 406-538-7711 | |
James W Fox, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 408 Wendell Ave, Lewistown, MT 59457 Phone: 406-535-7711 |