Individual
MARY COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3510 N CAUSEWAY BLVD, SUITE 404, METAIRIE, LA 70002-3531
(504) 779-5515
(504) 779-5568
Mailing address
255 WEST MICHIGAN AVENUE, JACKSON, MI 49204-1123
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP02679
LA
Other
Enumeration date
04/10/2007
Last updated
08/10/2023
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