Mr Edmon Liston Mapp Jr, CRNA is a
Nurse Anesthetist, Certified Registered based in Deville, Louisiana. Mr Edmon Liston Mapp Jr is licensed to practice in Louisiana (license number 40557) and his current practice location is
163 Booner Miller Rd, Deville, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 443-1700.
NPI number for Mr Edmon Liston Mapp Jr is 1518931229 and his current mailing address is 163 Booner Miller Rd, Deville, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518931229.
Provider's Profile
Full Name | Mr Edmon Liston Mapp Jr |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 163 Booner Miller Rd, Deville, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518931229
- Provider Enumeration Date: 02/17/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Edmon Liston Mapp Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518931229 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 40557 (Louisiana) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 704026 (Texas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Edmon Liston Mapp Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Edmon Liston Mapp Jr, CRNA 163 Booner Miller Rd, Deville, LA 71328-9445 Ph: (318) 443-1700 | Mr Edmon Liston Mapp Jr, CRNA 163 Booner Miller Rd, Deville, LA 71328-9445 Ph: (318) 443-1700 |
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