Individual
CAROL CASTELLUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN045338
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02926825
—
MS
05
—
1976326
—
LA
Enumeration date
08/30/2006
Last updated
05/08/2008
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