| Shayne Hauglum, CRNA | |
| 3073 White Mountain Hwy, North Conway, NH 03860-5111 | |
| (603) 356-5461 | |
| (603) 356-7651 | 
| Full Name | Shayne Hauglum | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 3073 White Mountain Hwy, North Conway, New Hampshire | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1821087685 | NPI | - | NPPES | 
| 010732448 | Other | NH | TRICARE WHITE MTN ANESTH. | 
| NI1211 | Other | NH | ACS INDIVIDUAL | 
| NI1207 | Other | NH | ACS WHITE MTN ANESTHESIA | 
| 276054 | Other | NH | HARVARD INDIVIDUAL | 
| 40Y003831NH01 | Other | NH | ANTHEM INDIVIDUAL | 
| 693984 | Other | NH | TUFTS INDIVIDUAL | 
| 135830000 | Medicaid | ME | |
| 30342370 | Medicaid | NH | |
| 237640099 | Medicaid | ME | |
| 50Y152300MA01 | Other | NH | ANTHEM WHITE MTN ANESTH. | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 048592311 (New Hampshire) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | APRN9336042 (Florida) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Shayne Hauglum, CRNA 1611 Nw 12th Ave, Miami, FL 33136-1005 Ph: (305) 585-6586 | Shayne Hauglum, CRNA 3073 White Mountain Hwy, North Conway, NH 03860-5111 Ph: (603) 356-5461 | 
| Griffin Stallard Kopp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-4835 Fax: 603-356-2604 | |
| Mr. David Kent Esmay, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mtn Hwy, The Memorial Hosp/anesthesia Dept, North Conway, NH 03860 Phone: 603-356-5467 | |
| Tawnya J Lopez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-5461 | |
| Ashley Cyr, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 912-484-7334 | |
| Mr. Sean M. O'brien, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mtn Hwy, Anesthesia Department, North Conway, NH 03860 Phone: 603-356-5461 Fax: 603-356-7651 |