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NPI Code Detail

MEDICARE: ALEXANDRA HARVEY CRNA

MEDICARE: ALEXANDRA HARVEY 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 Anesthetist154830LA

General Provider Information

NPI Number : 1174244669
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA HARVEY CRNA
Provider Business Mailing Address
First Line : 13706 CLARENDON DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70810-3583
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13706 CLARENDON DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70810-3583
Country : US
Telephone Number : 832-260-2928
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2022
Last Update Date : 10/30/2025

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