Individual
MISS SHELBY ROSE HENSSLER-VIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601-8911
(337) 494-4178
(337) 494-6518
Mailing address
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601-8911
(337) 494-4178
(337) 494-6518
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
223697
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
223697
LA
Other
Enumeration date
04/13/2022
Last updated
02/24/2026
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