Healthcare Provider Details

I. General information

NPI: 1497667505
Provider Name (Legal Business Name): ERIKA REYES LOOR CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8166 MAIN ST
HOUMA LA
70360-3404
US

IV. Provider business mailing address

4404 PIKE DR
METAIRIE LA
70003-2720
US

V. Phone/Fax

Practice location:
  • Phone: 985-873-4141
  • Fax:
Mailing address:
  • Phone: 504-430-9949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number249023
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: