Individual
MR. BLAKE CULLOM MULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N. / C.R.N.A.
Contact information
Practice address
15790 PAUL VEGA MD DR, ANESTHESIA DEPARTMENT, HAMMOND, LA 70403-1434
(985) 230-2198
(985) 230-2173
Mailing address
PO BOX 1609, ANESTHESIA DEPARTMENT, HAMMOND, LA 70404-1609
(985) 230-2198
(985) 230-2173
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN124467
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP00000
LA
367500000X
Certified Registered Nurse Anesthetist
APN.25259
SC
367500000X
Certified Registered Nurse Anesthetist
RNA223081
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
LA
Enumeration date
01/04/2013
Last updated
04/11/2025
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