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NPI Code Detail

MEDICARE: PARISH ANESTHESIA OF MONROE, LLC

MEDICARE: PARISH ANESTHESIA OF MONROE, LLC
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 Anesthetist
2207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1164474383
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARISH ANESTHESIA OF MONROE, LLC
Provider Business Mailing Address
First Line : 3850 N CAUSEWAY BLVD STE 1565
Second Line :
City : METAIRIE
State : LA
Zip : 70002-8115
Country : US
Telephone Number : 504-408-0804
Fax Number : 504-779-5568
Provider Business Practice Location Address
First Line : 3510 N CAUSEWAY BLVD
Second Line :
City : METAIRIE
State : LA
Zip : 70002-3531
Country : US
Telephone Number : 504-779-5515
Fax Number :
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : CHANTEL M DAUZAT
Credential : MJ-LEL
Telephone Number : 504-408-0804
Provider Enumeration Date : 05/16/2006
Last Update Date : 02/22/2023

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