Individual
MARIANNE A HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2495 SHREVEPORT HWY # 71N, PINEVILLE, LA 71360-4044
(318) 466-2957
Mailing address
PO BOX 69004, ALEXANDRIA, LA 71306-9004
(318) 466-2957
(318) 473-4340
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN01986
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP03944
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114561
—
LA
01
—
430077547
RAILROAD MEDICARE
—
Enumeration date
08/26/2005
Last updated
10/22/2015
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