Healthcare Provider Details

I. General information

NPI: 1932097896
Provider Name (Legal Business Name): CHRISTOPHER MICHAEL PRIEUR JR. RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 COLONIAL CLUB DR
HARAHAN LA
70123-4427
US

IV. Provider business mailing address

301 COLONIAL CLUB DR
HARAHAN LA
70123-4427
US

V. Phone/Fax

Practice location:
  • Phone: 504-390-1453
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number201765
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: