Individual
MONICA N COLLINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2400 HOSPITAL DR, BOSSIER CITY, LA 71111-2385
(318) 212-7000
Mailing address
2400 HOSPITAL DR, BOSSIER CITY, LA 71111-2385
(318) 212-7000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN080696 AP05357
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1039284
—
LA
Enumeration date
01/14/2008
Last updated
02/08/2011
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