Individual
GENA M MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
938 VALENCE ST, NEW ORLEANS, LA 70115-2853
(504) 577-1606
Mailing address
938 VALENCE ST, NEW ORLEANS, LA 70115-2853
(504) 577-1606
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
62208
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972070
—
LA
Enumeration date
03/13/2007
Last updated
07/27/2007
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