Individual
MIMI R PRIMEAUX
Active
Individual
MIMI R PRIMEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
063293
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN063293
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05607526
—
MS
05
—
1669822
—
LA
Enumeration date
10/12/2006
Last updated
02/06/2008
Update your record
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