| Ms Charlene V Brouillette, CRNA | |
|
5024 Toby Ln, Kenner, LA 70065-3262 | |
| (504) 456-9958 | |
| (504) 779-6769 |
| Full Name | Ms Charlene V Brouillette |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 5024 Toby Ln, Kenner, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033180997 | NPI | - | NPPES |
| 1905356 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP02363 (Louisiana) | Primary |
| Entity Name | Childrens Hospital Anesthesia Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649362740 PECOS PAC ID: 0446152862 Enrollment ID: O20040124000258 |
| Entity Name | Zephyr Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891087458 PECOS PAC ID: 1658559125 Enrollment ID: O20110705000180 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Charlene V Brouillette, CRNA 5024 Toby Ln, Kenner, LA 70065-3262 Ph: (504) 456-9958 | Ms Charlene V Brouillette, CRNA 5024 Toby Ln, Kenner, LA 70065-3262 Ph: (504) 456-9958 |
Angela W Kilbourn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 180 W Esplanade Ave, Kenner, LA 70065 Phone: 504-842-3755 Fax: 504-842-2036 |
Misty Boudreaux, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 180 W Esplanade Ave, Kenner, LA 70065 Phone: 504-468-8600 |
Dana Trenise Pierce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 180 W Esplanade Ave, Kenner, LA 70065 Phone: 504-842-3755 |
Jonah Parker Borskey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 180 W Esplanade Ave, Kenner, LA 70065 Phone: 504-468-8600 |
Micah J Metrailer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 W Esplanade Ave, Kenner, LA 70065 Phone: 504-464-8506 |
Rosalinda Garcia O'neill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 W Esplanade Ave, Kenner, LA 70065 Phone: 504-464-8506 |
Mrs. Tara L Di Buono, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 180 W Esplanade Ave, Kenner, LA 70065 Phone: 504-468-8600 |