Individual
BLAKE STAGNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3000
Mailing address
617 CLARE CT APT B, NEW ORLEANS, LA 70124-1763
(985) 859-0802
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP08384
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09050015
—
MS
05
—
2400037
—
LA
Enumeration date
07/30/2015
Last updated
10/06/2015
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