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Shannan Rotruck, CRNA
NPI 1255753455 · Registered Nurse · Pearl Harbor, HI
Shannan Rotruck, CRNA is a Registered Nurse provider in Pearl Harbor, HI (NPI 1255753455).
Provider details
- NPI number
- 1255753455
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4704244122 (MI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
480 Central Ave
Pearl Harbor, HI 96860-4908
Phone: (808) 474-4242
Approximate (ZIP-level) locationGet directions
Mailing address
3 Bayshore Ct
Gaithersburg, MD 20878-1979
Registry dates
- Enumerated
- 2014-01-08
- Last updated
- 2022-11-02
- Certified
- 2022-11-01
Frequently asked questions
- What is Shannan Rotruck's NPI number?
- Shannan Rotruck's National Provider Identifier (NPI) is 1255753455, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannan Rotruck's specialty?
- Shannan Rotruck is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Shannan Rotruck located?
- Shannan Rotruck's practice location on file with NPPES is 480 Central Ave, Pearl Harbor, HI 96860-4908.
- What is Shannan Rotruck's phone number?
- The practice phone number listed in the NPPES registry for Shannan Rotruck is (808) 474-4242.
- Is Shannan Rotruck's NPI active?
- Yes — Shannan Rotruck's NPI (1255753455) is active in the NPPES registry as of the last update on 2022-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.