Theresa Bourg Vicknair CRNA

  • NPI 1134100746
According to our database, the NPI number for Theresa Bourg Vicknair CRNA is 1134100746 and activated since 18 years ago. Theresa Bourg Vicknair CRNA is an individual provider who specializes in Nurse Anesthetist, Certified Registered, and the primary practice location is St James Parish Hosipital, Lutcher, LA 70071. You can also contact Theresa Bourg Vicknair CRNA via telephone number is (225) 869-5512. Provider NPI information was last updated on 07/08/2007.

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Overview of Theresa Bourg Vicknair CRNA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 11/10/2005
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: AP01519
  • License State: LA

Provider Mailing Address

  • Address: 124 Jennifer Ln
    La Place, LA 70068
  • Phone: 985-359-0599
  • Fax:

Provider Practice Location

  • Address: St James Parish Hosipital
    Louisiane Ave
    Lutcher, LA 70071
  • Phone: 225-869-5512
  • Fax:

Scope of Practice

  • Taxonomy Code: 163W00000X
  • Specialty: Registered Nurse
  • License Number: RN059871
  • License State: LA
  • Switch: Not Answered

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Theresa Bourg Vicknair CRNA?
  • A: The npi number for Theresa Bourg Vicknair CRNA is 1134100746.
  • Q: What are Theresa Bourg Vicknair CRNA's specialties?
  • A: Theresa Bourg Vicknair CRNA's specialties are Nurse Anesthetist, Certified Registered and different specialities.
  • Q: What is the medical license for Theresa Bourg Vicknair CRNA?
  • A: The medical license number for Theresa Bourg Vicknair CRNA is AP01519 and issued in LA in USA.
  • Q: Where is Theresa Bourg Vicknair CRNA practice location?
  • A: Theresa Bourg Vicknair CRNA is practicing at St James Parish Hosipital, Lutcher, LA 70071.
  • Q: How to contact Theresa Bourg Vicknair CRNA?
  • A: You can contact Theresa Bourg Vicknair CRNA via 225-869-5512.
Medicare Specialty
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Family Health
Nurse Massage Therapist
Sports Medicine
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