Organization
STAT ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA BOUGHTON HOLLIFIELD CRNA (OWNER CRNA)
(504) 737-6407
Entity
Organization
Contact information
Practice address
3900 VETERANS MEMORIAL BLVD, SUITE 100, METAIRIE, LA 70002-5634
(504) 455-1550
(504) 455-2011
Mailing address
408 TIFFANY DR, RIVER RIDGE, LA 70123-1542
(504) 737-6407
(504) 738-1912
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN029060 AP02166
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD6228
MEDICARE RAILROAD
LA
Enumeration date
04/25/2007
Last updated
08/22/2020
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