Theresa B Halliburton CRNA

NPI 1922176437 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1922176437
Gender Female
Enumeration Date 12/01/2006
Last Updated 06/24/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
FORT SMITH AR, 72903-2584, US
Phone (479) 452-1581
Fax (479) 452-2148
Business Location
PO BOX 11880
FORT SMITH AR, 72917-1880, US
Phone (479) 452-1581
Fax (479) 452-2149
Taxonomy Code 367500000X
License State Arkansas
License Number C01018 CRNA
Remove 1922176437 NPI Number

According to our database, Theresa B Halliburton CRNA NPI is 1922176437, taxonomy code is 367500000X and license number is C01018 CRNA, license state is located at Arkansas. Theresa B Halliburton CRNA physically located at 11115 So Waldron Rd, Fort Smith AR, 72903-2584. NPI Number Theresa B Halliburton CRNA has the Individual type.

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1922176437 NPI number is provided on an as is basis without warranty of any kind. 1922176437 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa B Halliburton CRNA are for informational purposes only.