Individual
BETTINA MARIE BLASINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5637 ROSEMARY PL, NEW ORLEANS, LA 70124-1843
(617) 319-6853
Mailing address
5637 ROSEMARY PL, NEW ORLEANS, LA 70124-1843
(617) 319-6853
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP07354
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00637794
MS MEDICAID
MS
05
—
2344625
—
LA
Enumeration date
08/21/2013
Last updated
08/27/2014
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