E.A. Conway Medical Center
Nurse Anesthetist, Certified Registered in Monroe, LA. Organization (NPI-2).
NPI number1174656367
StatusActive
Last updated in NPPESJul 27, 2010
Details
- NPI
- 1174656367
- Entity type
- Organization (NPI-2)
- Legal business name
- E.A. Conway Medical Center
- Organization subpart
- No
- Enumeration date
- Mar 14, 2007
- Last updated
- Jul 27, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 129 | LA | Yes |
Other names
- E.A. Conway Medical Center Crnas (Doing Business As)
Practice location
4864 Jackson StMonroe, LA 71202-6400
Phone 318-330-7000 · Fax 318-675-5666
Mailing address
4864 Jackson StMonroe, LA 71202-6400
Phone 318-330-7000 · Fax 318-675-5666
Authorized official
Melanie H Sotak
Director Of Managed Care
3186757737
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