Individual
CHRISTOPHER WAYNE CHAISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
602 N ACADIA RD, THIBODAUX, LA 70301-4847
(985) 493-4511
Mailing address
PO BOX 5478, THIBODAUX, LA 70302-5478
(985) 493-4511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
139606
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
RN113308
LA
Other
Enumeration date
06/14/2011
Last updated
07/18/2011
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