Individual
BERNARD ANTONY FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1415 TULANE AVE, HC-71, NEW ORLEANS, LA 70112-2600
(504) 988-3290
(504) 988-6216
Mailing address
1415 TULANE AVE, HC-71, NEW ORLEANS, LA 70112-2600
(504) 988-3290
(504) 988-6216
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP05548
LA
367H00000X
Anesthesiologist Assistant
AP05548
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09008854
—
MS
05
—
1053577940
—
AL
05
—
1309672
—
LA
Enumeration date
07/31/2008
Last updated
02/26/2009
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