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

Shirley Phan

Individual provider Certified Registered Nurse Anesthetist · NPI 1679953657

Shirley Phan is a Certified Registered Nurse Anesthetist (CRNA) in Gainesville, Florida. Qualified in 2015, 11 years ago. Practices with Anesthesia Dynamics LLC, a 880-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2015
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Practice location Address checks out

1600 SW Archer Rd
Gainesville, FL 32610-8205
Phone: (352) 273-8610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9456 Worthington Ridge Rd, Orlando, FL 32829-8205 — (321) 206-8137

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence ARNP2933272 (FL)

Record details

NPI number1679953657
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 4, 2015
Last updated in NPPESApril 17, 2023
Certification dateApril 17, 2023
Mailing address9456 Worthington Ridge Rd, Orlando, FL 32829-8205

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Anesthesia Dynamics Llc — 880 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Gainesville