Individual
KATRINA R O'CON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-4220
Mailing address
9670 CALLIOPE LN, SHREVEPORT, LA 71115-4600
(318) 798-6677
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN077127/AP04177
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1147109
—
LA
Enumeration date
11/03/2005
Last updated
09/02/2008
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