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NPI Code Detail

MEDICARE: ROBBY DUET CRNA

MEDICARE: ROBBY DUET 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 AnesthetistAP121608TX

General Provider Information

NPI Number : 1992078257
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBBY DUET CRNA
Provider Business Mailing Address
First Line : 8449 E CYPRESS POINT CT
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-2274
Country : US
Telephone Number : 985-637-3888
Fax Number :
Provider Business Practice Location Address
First Line : 8449 E CYPRESS POINT CT
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-2274
Country : US
Telephone Number : 985-637-3888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2012
Last Update Date : 06/05/2024

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