Healthcare Provider Details
I. General information
NPI: 1770891632
Provider Name (Legal Business Name): APRIL HERNANDEZ GRAFFEO CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/14/2010
Last Update Date: 11/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7145 PERKINS ROAD
BATON ROUGE LA
70608-4322
US
IV. Provider business mailing address
11414 LAKE SHERWOOD AVE N
BATON ROUGE LA
70816-0406
US
V. Phone/Fax
- Phone: 225-765-3111
- Fax: 225-765-3114
- Phone: 225-754-9478
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | AP06298 |
| License Number State | LA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | RN107299 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: