Individual
RACHEL POOLSON PENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5413 TOBY LN, KENNER, LA 70065-2347
(504) 232-7557
Mailing address
2816 KINGSTON ST STE C, KENNER, LA 70062-4995
(504) 232-7557
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP08345
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09430074
—
MS
05
—
2397770
—
LA
Enumeration date
06/29/2015
Last updated
11/03/2017
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