Individual
MIKEAL SIDNEY WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2500 BELLE CHASSE HWY, GRETNA, LA 70056
(504) 842-3755
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-9119
(504) 842-6997
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP02355
LA
367500000X
Certified Registered Nurse Anesthetist
RN028523
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01830808
—
MS
05
—
1397113
—
LA
Enumeration date
07/03/2006
Last updated
05/14/2012
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