Individual
MISTIE J. DUBROC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
211 4TH ST, ALEXANDRIA, LA 71301-8421
(318) 473-3000
Mailing address
PO BOX 5887, BOX 30135, ALEXANDRIA, LA 71307-5887
(318) 448-4440
(318) 473-4340
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP05114
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407569
—
LA
01
—
P00397900
RAILROAD MEDICARE
—
Enumeration date
12/29/2006
Last updated
06/10/2016
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