Damon Fortenberry in Bogalusa - Nurse Anesthetist, Certified Registered
Damon Fortenberry - NPI 1790788214
Damon Fortenberry is a Nurse Anesthetist, Certified Registered in Bogalusa, Louisiana. Damon Fortenberry practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Damon Fortenberry is 1790788214. The last update date is 2020-12-30.
Damon Fortenberry's current location address is 433 Plaza St, Bogalusa, Louisiana. You can contact this provider via phone number 9857306700 and fax number 9857306713. The mailing address for Damon Fortenberry is 433 Plaza St, Bogalusa, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Damon Fortenberry |
|---|---|
| Address | 433 Plaza St, Bogalusa, Louisiana |
| Phone Number | 9857306700 |
| Fax Number | 9857306713 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1790788214 |
|---|---|
| Provider Enumeration Date | 2005-05-30 |
| Last Updated Date | 2020-12-30 |
Provider Mailing Address Detail
| Address | 433 Plaza St |
|---|---|
| City | Bogalusa |
| State | Louisiana (LA) |
| Post Code | 7042737290 |
| Phone Number | 9857306700 |
| Fax Number | 9857306713 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | RN073334 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1107042 | LA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Damon Fortenberry by the Centers for Medicare & Medicaid Services?
The Damon Fortenberry has been issued the NPI (National Provider Identifier) 1790788214. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Damon Fortenberry is geographically located?
The Damon Fortenberry is physically situated at the following location: 433 Plaza St, Bogalusa, LA, 7042737290.
What is the Damon Fortenberry's area of specialization and corresponding taxonomy classification?
The Damon Fortenberry's specialty field is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their specialties.
On what date did Damon Fortenberry receive its 1790788214 assignment from the Centers for Medicare & Medicaid Services?
The Damon Fortenberry was assigned its 1790788214 on 2005-05-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Damon Fortenberry last refreshed?
The information related to the Damon Fortenberry, including its address, specialty, and other relevant details, was last updated on 2020-12-30.