Individual
ZACHARY COLE MATHERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 214-6438
Mailing address
7777 HENNESSY BLVD STE 301, BATON ROUGE, LA 70808-0319
(225) 214-6438
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
158446
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
239297
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
LA
Other
Enumeration date
01/29/2024
Last updated
01/06/2025
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