Healthcare Provider Details

I. General information

NPI: 1134160302
Provider Name (Legal Business Name): JULIE ANN SHAPIRO CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE ANN KINNEY

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1613 HARRISON PKWY #200
SUNRISE FL
33323-2853
US

IV. Provider business mailing address

4273 CASPER CT
HOLLYWOOD FL
33021-2411
US

V. Phone/Fax

Practice location:
  • Phone: 954-838-2371
  • Fax:
Mailing address:
  • Phone: 954-966-1809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP2518332
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: