Individual
BECKY ANN BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2500 BELLE CHASSE HWY, GRETNA, LA 70056
(504) 391-5157
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-9119
(504) 842-6997
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP01320
LA
367500000X
Certified Registered Nurse Anesthetist
RN028526
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396401
—
LA
05
—
D5173589
—
MS
Enumeration date
06/16/2006
Last updated
05/14/2012
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