NPI 1053457176

Teresa Halley Willis, CRNA

Practitioner Certified Registered Nurse Anesthetist Monroe, LA

Practice location

Address: 3421 Medical Park Dr, Monroe, LA 71203-2355
Phone: (318) 388-7890
Mailing address: 240 Chapman Johnson Rd, Calhoun, LA 71225-8669

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RN031851 APO1344 (LA)

Other Nurse Anesthetist, Certified Registered providers in Louisiana →

Registry record

NPI: 1053457176
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jan 2007
Record last updated: 5 Nov 2007

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.