Most Relevant Information
Provider Data
| NPI Number: | 1003445198 |
| Provider Name: | CAROLYN SMITH MCCORD CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/02/2020 |
| Last Updated: | 09/01/2020 |
Provider Practice Location
1200 NURSERY AVE
METAIRIE
LA
700052326
Practice Location Phone/Fax
| Phone: | 5043193812 |
| Fax: |
Provider Mailing Location
1514 JEFFERSON HWY
NEW ORLEANS
LA
701212429
Provider Mailing Phone/Fax
| Phone: | 5048423755 |
| Fax: |