Darrell L Fouts, CRNA
Nurse Anesthetist, Certified Registered in Shreveport, LA. Individual provider (NPI-1).
NPI number1629068887
StatusActive
Last updated in NPPESSep 19, 2008
Details
- NPI
- 1629068887
- Entity type
- Individual (NPI-1)
- Name
- Darrell L Fouts
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2005
- Last updated
- Sep 19, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN057165AP01505 | LA | Yes |
Practice location
8001 Youree DrShreveport, LA 71115-2302
Phone 318-212-3220
Mailing address
10014 Rocky Knoll CirShreveport, LA 71106-7650
Phone 318-797-3135
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All 182 Certified Registered Nurse Anesthetist providers in Shreveport · All 11,081 providers in Shreveport
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