Individual ProviderColby Cheyenne OrrNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1453 E Bert Kouns Industrial Loop, Shreveport, LA 71105-6800(318) 681-5462(318) 230-0104PECOS EnrollmentBased on the most recent information from CMS, provider Colby Cheyenne Orr does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1639930761Provider TypeIndividualFull NameOrr, Colby CheyenneCredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date1/16/2024Last Updated1/16/2024Contact InformationPractice LocationPractice Address1453 E Bert Kouns Industrial Loop, Shreveport, LA 71105-6800Phone(318) 681-5462FaxUnlisted FaxMailing LocationMailing Address585 Woodland Park Rd, Stonewall, LA 71078-9133Phone(318) 230-0104FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense200109Louisiana