Individual
PATRICIA D VOLENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
401 E VAUGHN AVE, RUSTON, LA 71270-5950
(318) 254-2100
(318) 254-2557
Mailing address
1589 HIGHWAY 544, RUSTON, LA 71270-1248
(318) 254-2557
(318) 254-2557
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
27144
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27114
LICENSE #
LA
Enumeration date
03/29/2007
Last updated
07/08/2007
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