Trace M Juneau, CRNA Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · Thibodaux, LA

NPI

1841801545

Type

Individual (Type 1)

Primary specialty

Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

367500000X

License number

230430 (LA)

Sex

Male

Sole proprietor

No

Enumerated

2020-08-14

Last updated

2023-06-07