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Individual

BHAVINI MANOJ BHAKTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN-CNP

Contact information

Practice address
5220 ESSEN LN, BATON ROUGE, LA 70809-3542
(225) 526-1971
Mailing address
5220 ESSEN LN, BATON ROUGE, LA 70809-3542
(225) 526-1971

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2020018251
MO
367500000X
Certified Registered Nurse Anesthetist
041.509174
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209031769
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/06/2024
Last updated
03/13/2026
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