Individual
JOHN A MARBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 MEDICAL CENTER DRIVE, SLIDELL, LA 70461-5520
(985) 641-7670
Mailing address
100 MEDICAL CENTER DRIVE, SLIDELL, LA 70461-5520
(985) 649-7070
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
04648
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04648
ADVANCED PRACTICE
LA
05
—
06122221
—
MS
01
—
098770
RN LICENSE
LA
05
—
1320749
—
LA
Enumeration date
06/12/2006
Last updated
03/26/2020
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