Individual
MS. CONNIE M HARGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
118 N HOSPITAL DR, ABBEVILLE, LA 70510-4039
(337) 893-5466
Mailing address
PO BOX 52662, LAFAYETTE, LA 70505-2662
(337) 893-5466
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
02568
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1395463
—
LA
Enumeration date
07/07/2006
Last updated
03/28/2008
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