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Individual

JOEY L GERHARDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
920 STANTON L YOUNG BLVD STE 1140, OKLAHOMA CITY, OK 73104-5036
(405) 271-4351
Mailing address
17572 KAITLYN DR, BATON ROUGE, LA 70817-7463
(225) 802-9427

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
APRN11013111
FL
367500000X
Certified Registered Nurse Anesthetist
R0101839
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
RN094700 AP06023
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APRN11013111
FLORIDA APRN
FL
01
R0101839
APRN-CRNA LICENSE
OK
01
RN094700 AP06023
LA CRNA LIC
LA
Enumeration date
03/18/2010
Last updated
09/09/2024
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