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Individual

VERNA SHERMAN AGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
58305 JEFFERSON AVE, SLIDELL, LA 70460-3814
(504) 908-6306
(985) 649-4908
Mailing address
9290 MORRISON RD, NEW ORLEANS, LA 70127-2200
(504) 241-7995
(985) 649-4908

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1109231
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
RN041635-AP12621
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000671115
ANTHEM
05
200992140
IN
05
3075890
OH
01
611077369 1295716850
HEALTHNET
05
74012469
KY
Enumeration date
05/19/2006
Last updated
03/22/2012
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