Willis, Teresa Halley

Willis, Teresa Halley is an sole proprietor health care provider with primary practice located at 3421 Medical Park Dr , Monroe LA 71203-2355. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Willis, Teresa Halley can be contacted via phone (318) 388-7890.

Contact Information

Primary practice address
3421 Medical Park Dr Monroe LA 71203-2355
Phone: (318) 388-7890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN031851 APO1344 Louisiana

Profile Details

NPI number 1053457176
LBN Legal business name Willis, Teresa Halley
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Nov 5th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053457176 NPPES
Louisiana MEDICAID 1900443

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