Individual
KAYLA MARIE TISZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 233-7750
Mailing address
4056 CLEVELAND AVE APT 1W, SAINT LOUIS, MO 63110-3959
(312) 953-0355
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
10043856
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
209.021418
IL
Other
Enumeration date
06/16/2020
Last updated
09/08/2025
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