Individual
MRS. GLENDA POCHE VICKNAIR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2471 LOUISIANA AVE, ST JAMES PARISH HOSPITAL, LUTCHER, LA 70071-5413
(225) 869-5512
(225) 869-4956
Mailing address
316 N MILLET AVE, GRAMERCY, LA 70052-3610
(225) 869-8668
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN027658
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
021000
LA
Other
Enumeration date
11/18/2005
Last updated
09/11/2025
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