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NPI Code Detail

MEDICARE: LANDON SHEAMAN CRNA

MEDICARE: LANDON SHEAMAN CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist220437OK

General Provider Information

NPI Number : 1912724519
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANDON SHEAMAN CRNA
Provider Business Mailing Address
First Line : 169900 LAKEVIEW DR
Second Line :
City : MARLOW
State : OK
Zip : 73055-4563
Country : US
Telephone Number : 580-221-1997
Fax Number :
Provider Business Practice Location Address
First Line : 2621 N WHISENANT DR
Second Line :
City : DUNCAN
State : OK
Zip : 73533-0911
Country : US
Telephone Number : 580-252-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2024
Last Update Date : 09/24/2024

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Directions to “ LANDON SHEAMAN CRNA” Practice Location

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