Individual
NEELY L HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
PO BOX 5310, SHREVEPORT, LA 71135-5310
(318) 675-7737
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP05134
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017051
—
LA
01
—
105916
RN
LA
05
—
186869701
—
TX
Enumeration date
04/04/2007
Last updated
06/25/2024
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