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Contact Information

SHAWN A LEVERIDGE, CRNA
4916 OVERTON PLZ
FORT WORTH, TX76109
 Phone: 888-804-3000
 Fax: 817-334-0235
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for SHAWN A LEVERIDGE · (Male)

NPI Number 1205899275
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 04/10/2006
Last updated 09/25/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 589347
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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