Individual
MRS. ALYSSA M DUFRENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
602 N ACADIA RD, THIBODAUX, LA 70301-4823
(985) 493-4750
Mailing address
PO BOX 5478, THIBODAUX, LA 70302-5478
(985) 493-4750
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP08346
LA
390200000X
Student in an Organized Health Care Education/Training Program
RN126270
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2399632
—
LA
01
—
P01726070
RAILROAD MEDICARE
LA
Enumeration date
05/01/2015
Last updated
04/12/2017
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