Individual
MAEGAN FISACKERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 301, BATON ROUGE, LA 70808-4300
(225) 214-6436
(225) 214-6437
Mailing address
7777 HENNESSY BLVD, SUITE 301, BATON ROUGE, LA 70808-4300
(225) 214-6436
(225) 214-6437
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP07645
LA
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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