THERESA B HALLIBURTON

FORT SMITH, AR
NPI1922176437
Former NameTHERESA B MCDERMOTT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AR  C01018 CRNA)
Enumeration Date2006-12-01
Last Update Date2014-06-24
Business Address
-- THERESA B HALLIBURTON CRNA
11115 SO WALDRON RD 107
FORT SMITH, AR 72903-2584
Phone number: 479-452-1581
Mailing Address
-- THERESA B HALLIBURTON CRNA
PO BOX 11880
FORT SMITH, AR 72917-1880
Phone number: 479-452-1581