Shannon Doherty is a Bingham Farms, Michigan based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Shannon Doherty is 4704140193 for Anesthesia Administration in Michigan. Her current practice location is 30200 Telegraph Rd, Suite 220, Bingham Farms. Patients can reach her at 248-258-5058. Shannon Doherty is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1295791580.
Shannon Doherty is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Shannon Doherty speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Anesthesia Administration |
| Credentials: | CRNA |
| Gender: | Female |
| Practice Address: | 30200 Telegraph Rd, Suite 220, Bingham Farms,
Michigan, 48025-4502 |
| Phone: | 248-258-5058 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1295791580 |
| NPI Enumeration Date: | 25 Apr, 2006 |
| NPI Last Update On: | 12 Apr, 2017 |
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shannon Doherty are as mentioned below.
| License Number | Specialization | State | Status | |
| 4704140193 | Anesthesia Administration | Michigan | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Shannon Doherty such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 104838402 | Medicaid | Michigan | |
| P00311232 | Other | Michigan | RAILROAD MEDICARE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5445 Myron Rd,
Grant Township, Michigan |
| Zip: | 48032-2403 |
| Phone Number: | -- |
| Fax Number: | -- |
Patients can reach Shannon Doherty at
30200 Telegraph Rd, Suite 220, Bingham Farms, Michigan or can
call to book an appointment on 248-258-5058.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.