MEDICARE: TERRI S DENNY CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	RN075581	LA
2	367500000X	Certified Registered Nurse Anesthetist	AP04717	LA

General Provider Information

NPI Number	:	1053356782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRI S DENNY CRNA

Provider Business Mailing Address
First Line	:	1514 JEFFERSON HWY
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70121-2429
Country	:	US
Telephone Number	:	504-842-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4430 VETERANS MEMORIAL BLVD
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70006-5329
Country	:	US
Telephone Number	:	866-624-7637
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	04/05/2023

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