Individual
MR. BRENT STEVEN ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7777 HENNESSY BLVD STE 709, BATON ROUGE, LA 70808
(985) 232-8122
Mailing address
11101 REIGER RD APT 515, BATON ROUGE, LA 70809-0400
(985) 232-8122
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP06385
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2146289
—
LA
01
—
P01813271
RAILROAD MEDICARE
LA
Enumeration date
01/14/2011
Last updated
06/28/2018
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