Individual
RICHARD L ALLEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
(985) 646-5082
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP06160
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP06373
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP06373
STATE LICENSE
LA
Enumeration date
11/30/2010
Last updated
11/29/2022
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