Healthcare Provider Details

I. General information

NPI: 1619318243
Provider Name (Legal Business Name): DANIELLE E HOTARD CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2013
Last Update Date: 04/04/2023
Certification Date: 04/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 NAPOLEON AVE
NEW ORLEANS LA
70115-6914
US

IV. Provider business mailing address

1514 JEFFERSON HWY
JEFFERSON LA
70121-2429
US

V. Phone/Fax

Practice location:
  • Phone: 504-899-1114
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAP07447
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: