Doctor Name: | LESA RICE TILLEY |
NPI Number: | 1073582763 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNA |
License Number: | 628349 |
Business Practice Address: | 403 Magazine Ct Bossier City, LA - 711116263 |
Business Phone Number: | 2283657568 |
Business Fax Number: | |
Mailing Address: | 403 Magazine Ct, BOSSIER CITY |
State: | LA |
Postal Code: | 711116263 |
Phone Number: | 3185258688 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2006 |
NPI Last Update Date: | 06/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | 628349 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |