Individual
KIRSTIE LYNN OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
(985) 280-2200
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP04713
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009942784
—
AL
05
—
1320731
—
LA
01
—
P00391848
RAILROAD MEDICARE
GA
Enumeration date
07/21/2005
Last updated
03/01/2023
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