Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannan Rotruck, CRNA

Individual provider Registered Nurse · NPI 1255753455

Shannan Rotruck, CRNA is a Registered Nurse in Pearl Harbor, Hawaii. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2014
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

480 Central Ave
Pearl Harbor, HI 96860-4908
Phone: (808) 474-4242
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704244122 (MI)

Record details

NPI number1255753455
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJanuary 8, 2014
Last updated in NPPESNovember 2, 2022
Certification dateNovember 1, 2022

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