Individual
BENTLEY BABIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9456
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9456
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP04366
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052122050
—
MS
05
—
1463574
—
LA
Enumeration date
10/17/2006
Last updated
11/19/2024
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