Organization
HUEY P. LONG REG MEDICAL CENTER
Active
Organization
HUEY P. LONG REG MEDICAL CENTER
Active
Other names
Huey P. Long CRNA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE H SOTAK MHSA (DIRECTOR OF MANAGED CARE)
(318) 675-7737
Entity
Organization
Contact information
Practice address
352 HOSPITAL BLVD, PINEVILLE, LA 71361-5352
(318) 448-0811
(318) 473-6360
Mailing address
352 HOSPITAL ROAD, PINEVILLE, LA 71360-0000
(318) 448-0811
(318) 473-6360
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
255
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1799947
—
LA
Enumeration date
02/09/2009
Last updated
02/09/2009
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