Individual
LATERRICA A BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1111 MEDICAL CENTER BLVD STE S450, MARRERO, LA 70072
(504) 349-6401
(504) 349-6444
Mailing address
5845 COLBERT ST, NEW ORLEANS, LA 70124-2801
(225) 939-4693
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN116256
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP06489
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2161377
—
LA
Enumeration date
07/06/2011
Last updated
09/20/2018
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