Individual
CRAIG A ORTEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
539 E PRUDHOMME ST, OPELOUSAS, LA 70570-6499
(337) 943-7128
Mailing address
PO BOX 459, OPELOUSAS, LA 70571-0459
(337) 943-7128
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN102589
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001783
—
LA
Enumeration date
01/23/2007
Last updated
10/30/2009
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