Individual
MR. GERALD PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
6300 MAIN ST, ZACHARY, LA 70791-4037
(225) 658-4000
Mailing address
3617 HYACINTH AVE, BATON ROUGE, LA 70808-2933
(225) 389-2928
(225) 389-2931
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
23775
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
44332
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN3110
—
SC
Enumeration date
06/13/2006
Last updated
05/19/2024
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