Individual
MS. BOBETTE BROCATO DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4200 HOUMA BLVD, DEPARTMENT OF ANESTHESIA, METAIRIE, LA 70002
(504) 454-4000
Mailing address
3510 N CAUSEWAY BLVD, SUITE 404, METAIRIE, LA 70002-3531
(504) 454-5560
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN034639AP02010
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1921271
—
LA
05
—
PENDING
—
TN
Enumeration date
10/06/2006
Last updated
02/17/2011
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