Individual
NGUYEN TRAN COCKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNAP, CRNA
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
237485
LA
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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