Individual
MRS. SYM CUSIMANO RANKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1434
(985) 230-6685
(985) 230-2173
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 230-6685
(985) 230-2173
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP02464
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1397270
—
LA
01
—
430035504
RR MEDICARE#
—
Enumeration date
04/13/2006
Last updated
04/28/2008
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