Individual
CHELSIE NICOLE LISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
2017013613
MO
367500000X
Certified Registered Nurse Anesthetist
10247
IL
367500000X
Certified Registered Nurse Anesthetist
10247-33
WI
367500000X
Certified Registered Nurse Anesthetist
2017013613
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
7970
NC
367500000X
Certified Registered Nurse Anesthetist
D187768
IA
Other
Enumeration date
08/17/2019
Last updated
12/15/2025
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