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NPI Code Detail

MEDICARE: MRS. ESTHER PHYLLIS ROBICHAUX RN CRNA

MEDICARE: MRS. ESTHER PHYLLIS ROBICHAUX RN 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
1163W00000XRegistered NurseRN024147LA
2367500000XCertified Registered Nurse Anesthetist021195LA

General Provider Information

NPI Number : 1235128257
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ESTHER PHYLLIS ROBICHAUX RN CRNA
Provider Business Mailing Address
First Line : 12 MUIRFIELD DR
Second Line :
City : LA PLACE
State : LA
Zip : 70068-1632
Country : US
Telephone Number : 985-652-7720
Fax Number :
Provider Business Practice Location Address
First Line : 2471 LOUISIANA AVE
Second Line :
City : LUTCHER
State : LA
Zip : 70071-5413
Country : US
Telephone Number : 225-869-5512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2005
Last Update Date : 09/11/2025

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