Suzan Cathleen Shane-Gray, APN, EDD Valid NPI

Individual provider · Pediatric Clinical Nurse Specialist · Peoria, IL

NPI

1144525452

Type

Individual (Type 1)

Primary specialty

Pediatric Clinical Nurse Specialist (Clinical Nurse Specialist)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

364SP0200X

License number

209.008562 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2011-01-18

Last updated

2011-01-18