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Individual

ANICE HAYES WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2408 BROADMOOR BLVD, MONROE, LA 71201-2963
(318) 410-0002
Mailing address
30 QUAIL RIDGE DR, MONROE, LA 71203-9629
(318) 343-7267

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
043930/01449
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1390372
LA
Enumeration date
10/04/2006
Last updated
07/08/2007
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