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NPI Code Detail

MEDICARE: DONNA K MOREAU CRNA

MEDICARE: DONNA K MOREAU 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
1367500000XCertified Registered Nurse AnesthetistAPO4373LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063464303
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA K MOREAU CRNA
Provider Business Mailing Address
First Line : PO BOX 5887
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71307-5887
Country : US
Telephone Number : 318-442-5399
Fax Number : 318-442-1586
Provider Business Practice Location Address
First Line : 1444 PETERMAN DR
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-3432
Country : US
Telephone Number : 318-442-5399
Fax Number : 318-442-1586
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 06/24/2010

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Directions to “ DONNA K MOREAU CRNA” Practice Location

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