MEDICARE: ALYSSA BLANCHAR AMATO 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
1	367500000X	Certified Registered Nurse Anesthetist	AP05238	LA

General Provider Information

NPI Number	:	1497950042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA BLANCHAR AMATO CRNA

Provider Business Mailing Address
First Line	:	7777 HENNESSY BLVD STE 301
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-0319
Country	:	US
Telephone Number	:	225-214-6438
Fax Number	:

Provider Business Practice Location Address
First Line	:	8080 BLUEBONNET BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70810-7827
Country	:	US
Telephone Number	:	225-214-6438
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2007
Last Update Date	:	02/10/2026

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