| NPI | 1578804936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY FOURCADE Credentialing/Billing Manager 985-781-8565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2021-08-03 |