Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDALL E WISENOR, CRNA
Active Sole ProprietorRANDALL E WISENOR, CRNA is a Registered Nurse healthcare provider located in WEST MONROE, Louisiana. NPI 1134151186 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · WEST MONROE, LA
Registration Details
- NPI Number
- 1134151186
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2006 (20.138045826544 yrs)
- Last Updated
- Feb 15, 2008
- Licenses
-
RN070478 (LA)APO2815 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
203 BAYSIDE DRWEST MONROE, LA, 712918696Browse LA providers · Browse ZIP 71291
- Phone
- 3183961379
- Primary Specialty
-
Registered Nurse
163W00000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Registered Nurse Providers in WEST MONROE, LA
| Name | Credential | NPI |
|---|---|---|
| VALERIE BOYD | — | 1518313113 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.