| Kelly M Derise, | |
|
1900 Gravier St, New Orleans, LA 70112-2262 | |
| (504) 568-4106 | |
| Not Available |
| Full Name | Kelly M Derise |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1900 Gravier St, New Orleans, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427867316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 985451 (New York) | Primary |
| 163WC0200X | Registered Nurse - Critical Care Medicine | 205692 (Louisiana) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly M Derise, 423 Oak Manor Dr, New Iberia, LA 70563-2243 Ph: (337) 380-0161 | Kelly M Derise, 1900 Gravier St, New Orleans, LA 70112-2262 Ph: (504) 568-4106 |
Wendy Lynn Cambre, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3755 | |
Bentley Babin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Henry Clay Ave, New Orleans, LA 70118 Phone: 504-896-9456 | |
Lyndsey Launa Martin, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3755 | |
Harold Stevenson Mustin Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2021 Perdido St, New Orleans, LA 70112 Phone: 504-903-3370 Fax: 504-897-7008 | |
Lisa Battley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-4000 | |
Paige Crespo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-4000 | |
Stephen Michael Kelly, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2021 Perdido St, New Orleans, LA 70112 Phone: 504-903-3370 |