Stroud, Mary

Stroud, Mary is an individual health care provider with primary practice located at 1001 Gause Blvd , Slidell LA 70458-2939. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Stroud, Mary can be contacted via phone (985) 649-8767.

Contact Information

Primary practice address
1001 Gause Blvd Slidell LA 70458-2939
Phone: (985) 649-8767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN045603 Louisiana

Profile Details

NPI number 1104892793
LBN Legal business name Stroud, Mary
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Dec 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104892793 NPPES
Louisiana MEDICAID 1907219

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