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Individual

MIMI R PRIMEAUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000

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
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