Individual
BETH P BROOKSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
611 SAINT LANDRY ST, LAFAYETTE, LA 70506-4627
(337) 289-2966
(337) 289-2776
Mailing address
PO BOX 53864, LAFAYETTE, LA 70505-3864
(337) 289-2966
(337) 289-2776
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
01341
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1399167
—
LA
Enumeration date
08/30/2006
Last updated
03/28/2008
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