Individual
MORGAN C BRISTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-7374
Mailing address
114 WENDY LN, WEST MONROE, LA 71291-7545
(318) 235-2451
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN152650
LA
Other
Enumeration date
01/12/2021
Last updated
01/13/2021
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