Individual
MS. TIERANY L. WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-4000
Mailing address
5873 BAYOU DR, BOSSIER CITY, LA 71112-4987
(318) 752-1019
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN086356 AP03977
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1118150
—
LA
Enumeration date
11/14/2005
Last updated
04/27/2009
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