| Shanda Speed, CRNA | |
|
408 Wendell Ave, Lewistown, MT 59457-2261 | |
| (406) 535-7711 | |
| Not Available |
| Full Name | Shanda Speed |
|---|---|
| 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 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497868814 PECOS PAC ID: 5395639793 Enrollment ID: O20040209000295 |
| Entity Name | Cmsc Llc |
|---|---|
| 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 |