Individual
MR. JOHN H BORDES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
118 N HOSPITAL DR, ABBEVILLE, LA 70510-4039
(337) 898-6523
Mailing address
729 S IBERIA ST, NEW IBERIA, LA 70560-5530
(337) 364-7436
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
200222
OK
367500000X
Certified Registered Nurse Anesthetist
4147
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
AP02115
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001728000
—
FL
05
—
1667013
—
LA
05
—
200941640A
—
OK
01
—
IJ2491
MEDICARE PIN
OK
Enumeration date
10/03/2006
Last updated
03/05/2024
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