Healthcare Provider Details

I. General information

NPI: 1710872171
Provider Name (Legal Business Name): LINDSEY BOURGEOIS EYMARD CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

2000 CANAL ST
NEW ORLEANS LA
70112-3018
US

IV. Provider business mailing address

259 HIDDEN CYPRESS DR
BELLE CHASSE LA
70037-1763
US

V. Phone/Fax

Practice location:
  • Phone: 504-702-3000
  • Fax:
Mailing address:
  • Phone: 504-210-5485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number241388
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: