Individual
MRS. TARA L DI BUONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
180 W ESPLANADE AVE, KENNER, LA 70065-2467
(504) 468-8600
Mailing address
1111 MEDICAL CENTER BLVD, STE 450, MARRERO, LA 70072-3155
(504) 834-2062
(504) 831-7429
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
05522
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05035526
—
MS
05
—
1306525
—
LA
Enumeration date
07/18/2008
Last updated
09/13/2018
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