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

Shannon Doherty, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1295791580

Shannon Doherty, CRNA is a Certified Registered Nurse Anesthetist in Bingham Farms, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

30200 Telegraph Rd Ste 220
Bingham Farms, MI 48025-4502
Phone: (248) 258-5058
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704140193 (MI)

Record details

NPI number1295791580
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 25, 2006
Last updated in NPPESApril 12, 2017
Mailing address5445 Myron Rd, Grant Township, MI 48032-2403

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