Individual
MICHAEL R. HEROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1434
(985) 230-1682
(985) 230-1617
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 230-2198
(985) 230-2159
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP02194
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1397458
—
LA
01
—
430035509
RR MEDICARE#
—
Enumeration date
04/14/2006
Last updated
12/10/2013
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