Search › Louisiana › 367500000X
Benjamin Wisenbaker, CRNA
NPI 1023424462 · on the registry since 2014
Practice
- Address
- 1541 Kings Hwy
Shreveport, LA 71103 - Phone
- (318) 626-0000
- Fax
- (318) 629-4833
- Organisation at this address
- Brfhh Shreveport Llc
Brfhh Shreveport Llc
Brfhh Shreveport Llc
Brfhh Shreveport Llc
Brfhh Shreveport, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 483
Additional practice sites
- 5734 Coventry Ln, Fort Wayne, IN
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 367500000X
- Licence states on file
- IN, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana