Individual
PARKER ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
163W00000X
Registered Nurse
RN1253556
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024195687
VA
367500000X
Certified Registered Nurse Anesthetist
AP08135
LA
Other
Enumeration date
12/16/2014
Last updated
01/07/2026
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