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Justin M Vermeulen, CRNA

Nurse Anesthetist, Certified Registered in Baton Rouge, LA. Individual provider (NPI-1).

NPI number1295073781
StatusActive
Last updated in NPPESOct 13, 2025

Details

NPI
1295073781
Entity type
Individual (NPI-1)
Name
Justin M Vermeulen
Credential
CRNA
Sex
Male
Sole proprietor
No
Enumeration date
Jan 18, 2013
Certification date
Oct 13, 2025
Last updated
Oct 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered3016642KYYes

Practice location

8212 Summa Ave
Baton Rouge, LA 70809-3421

Phone 225-769-4403

Mailing address

Po Box 776351
Chicago, IL 60677-6351

Phone 502-588-9490 · Fax 502-272-5116

Other practice locations

1373 E State Road 62
Madison, IN 47250-7328

Phone 812-801-0609 · Fax 812-801-0276

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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