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NPI Code Detail

MEDICARE: INGRID FLAVIE BIJOU CRNA

MEDICARE: INGRID FLAVIE BIJOU 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 AnesthetistAPRN11030408FL
2163W00000XRegistered NurseRN2356107MA
3367500000XCertified Registered Nurse Anesthetist1157382TX

General Provider Information

NPI Number : 1457018442
Entity Type Code : Individual
Provider Name (Legal Business Name) : INGRID FLAVIE BIJOU CRNA
Provider Business Mailing Address
First Line : 1000 36TH ST
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-4862
Country : US
Telephone Number : 772-794-2552
Fax Number :
Provider Business Practice Location Address
First Line : 1000 36TH ST
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-4862
Country : US
Telephone Number : 954-614-1961
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2021
Last Update Date : 06/15/2026

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Directions to “ INGRID FLAVIE BIJOU CRNA” Practice Location

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