MEDICARE: JANELLE ANNE URBANO

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	235100	LA

General Provider Information

NPI Number	:	1063268043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANELLE ANNE URBANO

Provider Business Mailing Address
First Line	:	321 HARNEY ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70124-2914
Country	:	US
Telephone Number	:	303-653-1436
Fax Number	:

Provider Business Practice Location Address
First Line	:	321 HARNEY ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70124-2914
Country	:	US
Telephone Number	:	303-653-1436
Fax Number	:

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

Provider Enumeration Date	:	04/29/2024
Last Update Date	:	04/29/2024

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