Mary Cecola, CRNA
Nurse Anesthetist, Certified Registered in Shreveport, LA. Individual provider (NPI-1).
NPI number1972508307
StatusActive
Last updated in NPPESOct 8, 2008
Details
- NPI
- 1972508307
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mary Cecola
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2005
- Last updated
- Oct 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 65262-3128 | LA | Yes |
Other names
- Mary Ann Cecola (Other Name)
Practice location
2600 Greenwood RdShreveport, LA 71103-3908
Phone 318-212-4500
Mailing address
4502 Orchid StShreveport, LA 71105-3132
Phone 318-861-4406 · Fax 318-861-4406
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All 182 Certified Registered Nurse Anesthetist providers in Shreveport · All 11,081 providers in Shreveport
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