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HEATHER DIANNE DUTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
312 GRAMMONT ST STE 101, MONROE, LA 71201-7403
(318) 998-6129
Mailing address
115 RAYMOND DR, MONROE, LA 71203-2432
(318) 343-8047

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
725913
TX
367500000X
Certified Registered Nurse Anesthetist
AANA046978
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP02864
LA
367500000X
Certified Registered Nurse Anesthetist
RN070024
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1690601
LA
Enumeration date
09/07/2006
Last updated
07/21/2022
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