BRENNA MAE SHACKELFORD

RENO, NV
NPI1033377833
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NV  23824)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: IN  01067626A)
207P00000X Emergency Medicine
(Licence: HI  MD19340)
207P00000X Emergency Medicine
(Licence: CA  A133488)
207P00000X Emergency Medicine
(Licence: ID  M15461)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2008-05-28
Last Update Date2023-06-29
Business Address
Dr. BRENNA MAE SHACKELFORD MD
745 W MOANA LN STE 300
RENO, NV 89509-4980
Phone number: 775-327-5174
Mailing Address
Dr. BRENNA MAE SHACKELFORD MD
745 W MOANA LN STE 300
RENO, NV 89509-4980
Phone number: 775-327-5174