Individual
NATALIE JONES ILLG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1111MEDICAL CENTER BLVD., SUITE S-450, MARRERO, LA 70072
(504) 349-6401
(504) 349-6444
Mailing address
633 ARIS AVENUE, METAIRIE, LA 70005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN107301
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP05534
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1361089
—
LA
Enumeration date
07/24/2008
Last updated
10/18/2017
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