Individual
MRS. MARY MICAH CRESSY TRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
511 LAKEWOOD NORTHSHORE DR, COVINGTON, LA 70433-1935
(985) 778-6713
Mailing address
511 LAKEWOOD NORTHSHORE DR, COVINGTON, LA 70433-1935
(985) 778-6713
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
220570
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2020
Last updated
01/21/2022
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