Individual
JOHN RUMFELLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11414 LAKE SHERWOOD AVE N, BATON ROUGE, LA 70816-0406
(225) 754-9478
(225) 659-8195
Mailing address
11414 LAKE SHERWOOD AVE N, BATON ROUGE, LA 70816-0406
(225) 754-9478
(225) 659-8195
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP04645
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1721131
—
LA
Enumeration date
04/04/2007
Last updated
09/20/2018
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