Individual
JUSTIN M VERMEULEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8212 SUMMA AVE, BATON ROUGE, LA 70809-3421
(225) 769-4403
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3016642
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300060135
—
IN
05
—
7100788650
—
KY
Enumeration date
01/18/2013
Last updated
10/13/2025
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