Individual
HOLLI B CORDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7145 PERKINS ROAD, BATON ROUGE, LA 70808-4322
(225) 769-4403
(225) 769-4403
Mailing address
P.O. BOX 790213, ST. LOUIS, MO 63179-0213
(225) 769-4403
(225) 769-4403
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
RN069981 AP05689
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN069981/AP05689
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1804011
—
LA
01
—
RN069981 AP05689
LA STATE LIC
LA
Enumeration date
09/17/2009
Last updated
04/15/2010
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