# CREFASI ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265601884
- **Authorized official:** MR. NICHOLAS A CREFASI (PRESIDENT)
- **Authorized official phone:** (225) 753-4805

## Contact information

- **Practice address:** 3145 SHADOW LAKE DR, BATON ROUGE, LA 70816-3795
- **Practice address phone:** (223) 753-4805
- **Practice address fax:** (866) 635-0474
- **Mailing address:** 3145 SHADOW LAKE DR, BATON ROUGE, LA 70816-3795
- **Mailing address phone:** (223) 753-4805
- **Mailing address fax:** (866) 635-0474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | 71419 | LA | Yes |

## Other

- **Enumeration date:** 02/27/2008
- **Last updated:** 02/27/2008