| Randy Provensal, CRNA | |
|
3510 N Causeway Blvd, Metairie, LA 70002-3531 | |
| (504) 779-5568 | |
| Not Available |
| Full Name | Randy Provensal |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3510 N Causeway Blvd, Metairie, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356379325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN034091 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Randy Provensal, CRNA 744 W Michigan Ave, Jackson, MI 49201-1909 Ph: (517) 787-6440 | Randy Provensal, CRNA 3510 N Causeway Blvd, Metairie, LA 70002-3531 Ph: (504) 779-5568 |
Kristi F Simon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 | |
Brian F. Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 Fax: 504-779-5568 | |
Dominick Diecidue, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 Fax: 504-779-5568 | |
Brandon C. Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 Fax: 504-779-5568 | |
Joellyn Mary Grass, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3510 N Causeway Blvd, Metairie, LA 70002 Phone: 504-779-5515 | |
Ronald E. Bankert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 | |
Terri S Denny, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4430 Veterans Memorial Blvd, Metairie, LA 70006 Phone: 866-624-7637 |