Individual
ANGELA C. O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1415 TULANE AVE, HC 71, NEW ORLEANS, LA 70112-2600
(504) 988-5800
(504) 988-1743
Mailing address
1415 TULANE AVE, HC 71, NEW ORLEANS, LA 70112-2600
(504) 988-5800
(504) 988-1743
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN039838
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-1249716
TAX ID
LA
Enumeration date
12/11/2006
Last updated
07/08/2007
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