Individual
ASHLEE B HENNIGAN
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
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
05362
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035866
—
LA
Enumeration date
01/19/2008
Last updated
03/11/2009
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