Stefin Eston Graham, CRNA
Nurse Anesthetist, Certified Registered in Lafayette, LA. Individual provider (NPI-1).
NPI number1639830516
StatusActive
Last updated in NPPESJan 4, 2022
Details
- NPI
- 1639830516
- Entity type
- Individual (NPI-1)
- Name
- Stefin Eston Graham
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2022
- Certification date
- Jan 4, 2022
- Last updated
- Jan 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 223708 | LA | Yes |
Practice location
1214 Coolidge BlvdLafayette, LA 70503-2621
Phone 337-289-7991
Mailing address
1972 Cherrydale AveBaton Rouge, LA 70808-2815
Phone 225-571-8238
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