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Individual

FREDERICK R PITRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
501 KEYSER AVE, NATCHITOCHES, LA 71457-6018
(318) 214-4283
(847) 615-2858
Mailing address
501 KEYSER AVE, NATCHITOCHES, LA 71457
(318) 214-4283
(847) 615-2858

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN044466
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP102044
TX
367500000X
Certified Registered Nurse Anesthetist
APO1838
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1964662
LA
Enumeration date
07/05/2006
Last updated
09/30/2024
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