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Individual

MR. NEAL ANTHONY DUPRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
105 BLUE RIDGE DR, CARENCRO, LA 70520-5372
(337) 896-9639
Mailing address
500 NORTHRIDGE RD, ATLANTA, GA 30350-3315
(337) 896-9639

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
721824
MS
367500000X
Certified Registered Nurse Anesthetist
RN043495 AP01447
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8068UN
BCBS
TX
Enumeration date
10/31/2005
Last updated
05/01/2025
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