Provider Demographics
NPI:1679695100
Name:GUERINGER, MARIE C (CRNA)
Entity type:Individual
Prefix:MS
First Name:MARIE
Middle Name:C
Last Name:GUERINGER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 TULANE AVE
Mailing Address - Street 2:SUITE HC 71
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2600
Mailing Address - Country:US
Mailing Address - Phone:504-988-5888
Mailing Address - Fax:866-403-1780
Practice Address - Street 1:1415 TULANE AVE
Practice Address - Street 2:SUITE HC 71
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2600
Practice Address - Country:US
Practice Address - Phone:504-988-5888
Practice Address - Fax:866-403-1780
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP05115367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS08520292Medicaid
LA1001619Medicaid
AL009942932Medicaid
LA1001619Medicaid
LA$$$$$$$$$0OtherBLUECROSS BLUESHIELD