NPI 1023424462

Benjamin R. Wisenbaker, CRNA

Practitioner Certified Registered Nurse Anesthetist Shreveport, LA

Practice location

Address: 1541 Kings Hwy, Shreveport, LA 71103-4228
Phone: (318) 626-0000
Fax: (318) 629-4833

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence AP07907 (LA)

Other Nurse Anesthetist, Certified Registered providers in Louisiana →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 28217287A (IN)

Registry record

NPI: 1023424462
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2014
Record last updated: 10 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.