NPI 1013276153

Dominick Diecidue, CRNA

Practitioner Certified Registered Nurse Anesthetist Metairie, LA

Practice location

Address: 3510 N Causeway Blvd Suite 404, Metairie, LA 70002-3531
Phone: (504) 779-5515
Fax: (504) 779-5568
Mailing address: 255 W Michigan Ave PO Box 1123, Jackson, MI 49201-2218

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RN108985 (LA)

Other Nurse Anesthetist, Certified Registered providers in Louisiana →

Registry record

NPI: 1013276153
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 May 2012
Record last updated: 10 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.