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NPI Code Detail

MEDICARE: AMANDA CHRISTINE MCSHANE CRNA

MEDICARE: AMANDA CHRISTINE MCSHANE 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 Anesthetist8046NC
2367500000XCertified Registered Nurse AnesthetistAPN.0999209-CRNACO

General Provider Information

NPI Number : 1396526554
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA CHRISTINE MCSHANE CRNA
Provider Business Mailing Address
First Line : 777 BANNOCK ST
Second Line :
City : DENVER
State : CO
Zip : 80204-4597
Country : US
Telephone Number : 303-436-4949
Fax Number : 720-956-2531
Provider Business Practice Location Address
First Line : 777 BANNOCK ST
Second Line :
City : DENVER
State : CO
Zip : 80204-4597
Country : US
Telephone Number : 303-436-4949
Fax Number : 720-956-2531
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2023
Last Update Date : 12/08/2025

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