Individual
MRS. STEPHANIE LEGAUX PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 W ESPLANADE AVE, KENNER, LA 70065-2489
(504) 464-8506
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
102907
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP05239
LA
367500000X
Certified Registered Nurse Anesthetist
RN102907
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024198
—
LA
Enumeration date
07/05/2007
Last updated
04/19/2023
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