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CORRINE CATHERINE MONTELARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
7777 HENNESSY BLVD, STE 301, BATON ROUGE, LA 70808-0319
(225) 214-6436
(225) 214-6437
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(713) 620-4000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
074701
SC
367500000X
Certified Registered Nurse Anesthetist
AP05655
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP117000
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200920101
TX
01
89635U
BLUE CROSS BLUE SHIELD
TX
05
AN1463
SC
01
P00718347
RAILROAD MEDICARE
TX
Enumeration date
08/29/2006
Last updated
09/13/2019
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