Provider Demographics
NPI:1578659421
Name:ROME, DENISE CLAUDET (CRNA)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:CLAUDET
Last Name:ROME
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MRS
Other - First Name:DENISE
Other - Middle Name:ANNE
Other - Last Name:ROME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:PO BOX 1346
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70361-1346
Mailing Address - Country:US
Mailing Address - Phone:985-226-1057
Mailing Address - Fax:
Practice Address - Street 1:218 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-2768
Practice Address - Country:US
Practice Address - Phone:985-853-1390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN037595 AP02992367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1104434Medicaid
LA4B924Medicare ID - Type Unspecified
LANPP000Medicare UPIN