CONNIE MICHELLE SHIVELY

RUSTON, LA
NPI1689701872
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  60181)
Enumeration Date2007-02-27
Last Update Date2007-08-14
Business Address
Mrs. CONNIE MICHELLE SHIVELY CRNA
1118 S FARMERVILLE ST
RUSTON, LA 71270-5914
Phone number: 318-723-2770
Mailing Address
Mrs. CONNIE MICHELLE SHIVELY CRNA
420 RISER RD
RUSTON, LA 71270-9131
Phone number: 318-232-7700
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