Individual
BRIAN PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(866) 624-7637
Mailing address
18644 BROUSSARD RD, PRAIRIEVILLE, LA 70769-4506
(225) 717-6639
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
123449
LA
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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