Individual
TAYLER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
651 N BOLTON AVE, ALEXANDRIA, LA 71301-7449
(318) 443-3511
Mailing address
1512 EFFIE HWY, DEVILLE, LA 71328-2600
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
229067
LA
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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