Individual
KAYLA BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 289-7991
Mailing address
3510 N CAUSEWAY BLVD STE 404, METAIRIE, LA 70002-3531
(504) 779-5515
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN125103
LA
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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